WARREN K SLATEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025532

License Status

EXPIRED

Business

First Name

WARREN

Middle

Last Name

SLATEN

Business Name

WARREN K SLATEN

Original Issue Date

06/19/1990

Effective Date

06/19/1990

Expiration Date

06/30/1991

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006