BOOKER THEODORE EVANS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029597

License Status

EXPIRED

Business

First Name

BOOKER

Middle

THEODORE

Last Name

EVANS

Suffix

Business Name

BOOKER THEODORE EVANS MD

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

06/23/1996

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006