DAVID E MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120108

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MONTGOMERY

Suffix

Business Name

DAVID E MONTGOMERY MD

Original Issue Date

02/11/2008

Effective Date

06/29/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014