AVERY S HART MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013273

License Status

EXPIRED

Business

First Name

AVERY S

Last Name

HART

Suffix

Business Name

AVERY S HART MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/08/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006