DAVID J ABBOTT MD - Medical Doctor License in Illinois | # 125034052

DAVID J ABBOTT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034052

License Status

EXPIRED

Business

N

First Name

DAVID

Middle

J

Last Name

ABBOTT

Suffix

MD

Business Name

DAVID J ABBOTT MD

Original Issue Date

04/25/1996

Effective Date

04/25/1996

Expiration Date

06/23/2001

State

IL

Specialty/Qualifier

Otolaryngology

Ever Disciplined

N

LastModifiedDate

09/22/2006