TODD ANDREW TEMPLEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112118

License Status

NOT RENEWED

Business

First Name

TODD

Middle

ANDREW

Last Name

TEMPLEMAN

Suffix

Business Name

TODD ANDREW TEMPLEMAN MD

Original Issue Date

08/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2009