FAY K COLEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019960

License Status

EXPIRED

Business

First Name

FAY K

Last Name

COLEMAN

Suffix

Business Name

FAY K COLEMAN MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Therapeutic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006