ANDREA J FLOM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019566

License Status

EXPIRED

Business

First Name

ANDREA J

Last Name

FLOM

Business Name

ANDREA J FLOM

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006