TIMOTHY MICHAEL SLAVEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099412

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

MICHAEL

Last Name

SLAVEN

Business Name

TIMOTHY MICHAEL SLAVEN DO

Original Issue Date

12/21/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

11/16/2011