LAWRENCE WAH CHA N TOM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013136

License Status

EXPIRED

Business

First Name

LAWRENCE WAH CHA

Middle

Last Name

TOM

Business Name

LAWRENCE WAH CHA N TOM

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/12/1983

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006