JOSEPH J THEODORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081207

License Status

NOT RENEWED

Business

First Name

JOSEPH J

Last Name

THEODORE

Suffix

Business Name

JOSEPH J THEODORE MD

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

07/31/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006