RICHARD KOENIG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

KOENIG

Business Name

RICHARD KOENIG

Original Issue Date

06/25/2003

Effective Date

06/25/2003

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011