BERTHA A CHAUMONT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076508

License Status

NOT RENEWED

Business

First Name

BERTHA A

Last Name

CHAUMONT

Suffix

Business Name

BERTHA A CHAUMONT MD

Original Issue Date

01/01/1988

Effective Date

01/01/1988

Expiration Date

07/31/1990

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006