TIMOTHY J FLORETH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115575

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

FLORETH

Business Name

TIMOTHY J FLORETH

Original Issue Date

03/30/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011