KURT K KLOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

KURT K

Last Name

KLOSS

Suffix

Business Name

KURT K KLOSS MD

Original Issue Date

05/19/1994

Effective Date

05/19/1994

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011