ETHAN A BOOKER MD - Medical Doctor License in Illinois | # 125044925

ETHAN A BOOKER MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044925

License Status

EXPIRED

Business

N

First Name

ETHAN

Middle

A

Last Name

BOOKER

Suffix

MD

Business Name

ETHAN A BOOKER MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006