P JOHN KONICKI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091309

License Status

ACTIVE

Business

First Name

P JOHN

Last Name

KONICKI

Business Name

P JOHN KONICKI

Original Issue Date

07/19/1995

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

47403

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2023