TIN HLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066361

License Status

NOT RENEWED

Business

First Name

TIN

Last Name

HLA

Suffix

Business Name

TIN HLA MD

Original Issue Date

04/11/1983

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014