VICTORIA J L KONOLD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

VICTORIA

Middle

J L

Last Name

KONOLD

Business Name

VICTORIA J L KONOLD MD

Original Issue Date

02/22/2017

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021