THEODORE PERL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055194

License Status

NOT RENEWED

Business

First Name

THEODORE

Last Name

PERL

Suffix

Business Name

THEODORE PERL MD

Original Issue Date

07/22/1977

Effective Date

07/22/1977

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006