DAVID KENNETH EMERSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108819

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

KENNETH

Last Name

EMERSON

Suffix

Business Name

DAVID KENNETH EMERSON MD

Original Issue Date

03/18/2003

Effective Date

03/18/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006