THEODOR IRVING KAUFMAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099803

License Status

INACTIVE

Business

First Name

THEODOR

Middle

IRVING

Last Name

KAUFMAN

Suffix

Business Name

THEODOR IRVING KAUFMAN MD

Original Issue Date

03/08/1999

Effective Date

03/08/1999

Expiration Date

07/31/2002

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006