FREDDY SOEWIN AW Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013731

License Status

EXPIRED

Business

First Name

FREDDY SOEWIN

Last Name

Business Name

FREDDY SOEWIN AW

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006