TODD LEWIS PAXTON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030644

License Status

EXPIRED

Business

Title

First Name

TODD

Middle

LEWIS

Last Name

PAXTON

Business Name

TODD LEWIS PAXTON DO

Original Issue Date

07/14/1993

Effective Date

07/14/1993

Expiration Date

07/11/1994

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

General Practice

Ever Disciplined

LastModifiedDate

09/22/2006