ALAN J CONRAD - Medical Doctor License in Illinois | # 125012300

ALAN J CONRAD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012300

License Status

EXPIRED

Business

N

First Name

ALAN

Middle

J

Last Name

CONRAD

Business Name

ALAN J CONRAD

Original Issue Date

04/23/1981

Effective Date

04/23/1981

Expiration Date

04/23/1983

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006