CHAD A KORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084513

License Status

NOT RENEWED

Business

First Name

CHAD A

Last Name

KORT

Suffix

Business Name

CHAD A KORT MD

Original Issue Date

06/10/1992

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ELKHORN

State

Zip

53121

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008