WESLEY HAMILTON SELF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120548

License Status

NOT RENEWED

Business

First Name

WESLEY

Middle

HAMILTON

Last Name

SELF

Suffix

Business Name

WESLEY HAMILTON SELF MD

Original Issue Date

04/11/2008

Effective Date

04/11/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011