TODD N TOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081243

License Status

NOT RENEWED

Business

First Name

TODD N

Last Name

TOM

Suffix

Business Name

TODD N TOM MD

Original Issue Date

08/04/1990

Effective Date

08/04/1990

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2016