BETTINA H AULT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090528

License Status

NOT RENEWED

Business

First Name

BETTINA H

Last Name

AULT

Suffix

Business Name

BETTINA H AULT MD

Original Issue Date

04/12/1995

Effective Date

04/12/1995

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006