THEODORE GILL HART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144630

License Status

NOT RENEWED

Business

Title

First Name

THEODORE

Middle

GILL

Last Name

HART

Business Name

THEODORE GILL HART MD

Original Issue Date

11/08/2017

Effective Date

11/08/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021