GARY DAVID HALVORSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014772

License Status

EXPIRED

Business

First Name

GARY DAVID

Last Name

HALVORSON

Business Name

GARY DAVID HALVORSON

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006