THOMAS M BETLEJ MD - Medical Doctor License in Illinois | # 125027982

THOMAS M BETLEJ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027982

License Status

EXPIRED

Business

N

First Name

THOMAS M

Last Name

BETLEJ

Suffix

MD

Business Name

THOMAS M BETLEJ MD

Original Issue Date

05/08/1992

Effective Date

05/08/1992

Expiration Date

06/30/1995

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006