WADE LARRY THORSTAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028446

License Status

EXPIRED

Business

Title

First Name

WADE

Middle

LARRY

Last Name

THORSTAD

Business Name

WADE LARRY THORSTAD MD

Original Issue Date

05/29/1992

Effective Date

05/29/1992

Expiration Date

06/30/1995

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006