TIN HLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013730

License Status

EXPIRED

Business

First Name

TIN

Last Name

HLA

Suffix

Business Name

TIN HLA MD

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006