CHAD A HARSWICK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111041

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

HARSWICK

Business Name

CHAD A HARSWICK

Original Issue Date

03/19/2004

Effective Date

03/19/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006