DAVID M WITHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016431

License Status

EXPIRED

Business

First Name

DAVID M

Last Name

WITHAM

Suffix

Business Name

DAVID M WITHAM MD

Original Issue Date

10/26/1983

Effective Date

10/26/1983

Expiration Date

11/21/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006