THOMAS D DEVINE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030883

License Status

EXPIRED

Business

First Name

THOMAS D

Last Name

DEVINE

Business Name

THOMAS D DEVINE

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006