P JOHN KONICKI
Licensed Physician Controlled Substance
Illinois 336052894 Not Renewed
This Illinois license was held by P JOHN KONICKI. The license is no longer active. It was granted on 08/07/1995 and expired on 07/31/2005
LICENSE DETAILS
- License Number: 336052894
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 08/07/1995 (almost 30 years ago)
- Expiry Date: 07/31/2005 (almost 20 years ago)
LOCATIONS
A Address
OAK LAWN, IL 60453