DONALD RICHARD PACKHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012688

License Status

EXPIRED

Business

First Name

DONALD RICHARD

Last Name

PACKHAM

Business Name

DONALD RICHARD PACKHAM

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006