SEPTEMBER DOROTHEA WILLIAMS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016882

License Status

EXPIRED

Business

First Name

SEPTEMBER

Middle

DOROTHEA

Last Name

WILLIAMS

Business Name

SEPTEMBER DOROTHEA WILLIAMS

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006