DAVID RANDALL HOOTNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045756

License Status

NOT RENEWED

Business

First Name

DAVID RANDALL

Last Name

HOOTNICK

Suffix

Business Name

DAVID RANDALL HOOTNICK MD

Original Issue Date

07/01/1972

Effective Date

07/01/1972

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006