DAVID J ABBOTT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104682

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

ABBOTT

Suffix

Business Name

DAVID J ABBOTT MD

Original Issue Date

05/11/2001

Effective Date

05/11/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006