CLAUDE JEAN FORTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014760

License Status

EXPIRED

Business

First Name

CLAUDE JEAN

Last Name

FORTIN

Suffix

Business Name

CLAUDE JEAN FORTIN MD

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

06/22/1984

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006