KYLE P ETZKORN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

KYLE P

Last Name

ETZKORN

Suffix

Business Name

KYLE P ETZKORN MD

Original Issue Date

02/24/1989

Effective Date

02/24/1989

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011