BOOKER THEODORE EVANS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097834

License Status

NOT RENEWED

Business

First Name

BOOKER

Middle

THEODORE

Last Name

EVANS

Suffix

Business Name

BOOKER THEODORE EVANS MD

Original Issue Date

05/15/1998

Effective Date

05/15/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2008