CHAD J ACHENBACH MD - Medical Doctor License in Illinois | # 125043973

CHAD J ACHENBACH MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043973

License Status

CANCELLED

Business

N

First Name

CHAD

Middle

J

Last Name

ACHENBACH

Suffix

MD

Business Name

CHAD J ACHENBACH MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006