TIMOTHY E SPADE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029003

License Status

EXPIRED

Business

First Name

TIMOTHY E

Last Name

SPADE

Business Name

TIMOTHY E SPADE

Original Issue Date

07/08/1992

Effective Date

07/08/1992

Expiration Date

07/07/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006