ALAN G WITHIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065594

License Status

NOT RENEWED

Business

First Name

ALAN G

Last Name

WITHIAM

Suffix

Business Name

ALAN G WITHIAM MD

Original Issue Date

11/09/1982

Effective Date

11/09/1982

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006