ANDREA J FLOM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076083

License Status

NOT RENEWED

Business

First Name

ANDREA J

Last Name

FLOM

Business Name

ANDREA J FLOM

Original Issue Date

10/02/1987

Effective Date

10/02/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006