DAVID REDFORD LILJENQUIST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108879

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

REDFORD

Last Name

LILJENQUIST

Suffix

Business Name

DAVID REDFORD LILJENQUIST MD

Original Issue Date

03/26/2003

Effective Date

03/26/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006