PHYU-MAR T HLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027141

License Status

EXPIRED

Business

First Name

PHYU-MAR

Middle

Last Name

HLA

Suffix

Business Name

PHYU-MAR T HLA DO

Original Issue Date

06/11/1991

Effective Date

06/11/1991

Expiration Date

06/20/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006