WILLARD T DALTON JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059932

License Status

INACTIVE

Business

First Name

WILLARD T

Last Name

DALTON JR

Suffix

Business Name

WILLARD T DALTON JR MD

Original Issue Date

01/11/1980

Effective Date

01/11/1980

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2008