DANIEL ERIK ABBOTT MD - Medical Doctor License in Illinois | # 125046475

DANIEL ERIK ABBOTT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046475

License Status

EXPIRED

Business

N

First Name

DANIEL

Middle

ERIK

Last Name

ABBOTT

Suffix

MD

Business Name

DANIEL ERIK ABBOTT MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2006

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006