CHARISA M SPOO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019396

License Status

EXPIRED

Business

First Name

CHARISA M

Last Name

SPOO

Business Name

CHARISA M SPOO

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006