RENATO M DURHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029286

License Status

EXPIRED

Business

First Name

RENATO

Middle

Last Name

DURHAM

Suffix

Business Name

RENATO M DURHAM MD

Original Issue Date

04/22/1993

Effective Date

04/22/1993

Expiration Date

06/23/1996

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006