TODD C CARPENTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025056

License Status

EXPIRED

Business

First Name

TODD C

Last Name

CARPENTER

Suffix

Business Name

TODD C CARPENTER MD

Original Issue Date

05/24/1990

Effective Date

05/24/1990

Expiration Date

06/22/1993

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006