CAROLYN MICKUS HARTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018128

License Status

EXPIRED

Business

First Name

CAROLYN MICKUS

Last Name

HARTMAN

Suffix

Business Name

CAROLYN MICKUS HARTMAN MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006