EVERETT AI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060782

License Status

NOT RENEWED

Business

First Name

EVERETT

Last Name

Suffix

Business Name

EVERETT AI MD

Original Issue Date

08/26/1980

Effective Date

08/26/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006