TODD A HART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084529

License Status

NOT RENEWED

Business

First Name

TODD A

Last Name

HART

Suffix

Business Name

TODD A HART MD

Original Issue Date

06/11/1992

Effective Date

06/11/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006