J THEODORE KING MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013367

License Status

EXPIRED

Business

First Name

J THEODORE

Last Name

KING

Suffix

Business Name

J THEODORE KING MD

Original Issue Date

07/24/1981

Effective Date

07/24/1981

Expiration Date

07/01/1983

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006