RICHARD W ILLES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016553

License Status

EXPIRED

Business

First Name

RICHARD W

Last Name

ILLES

Suffix

Business Name

RICHARD W ILLES MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006