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 The license is no longer active.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