ALAN M CHAUSOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058216

License Status

NOT RENEWED

Business

First Name

ALAN M

Last Name

CHAUSOW

Suffix

Business Name

ALAN M CHAUSOW MD

Original Issue Date

12/19/1978

Effective Date

12/19/1978

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006