TRENT T HAYWOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031701

License Status

EXPIRED

Business

First Name

TRENT T

Last Name

HAYWOOD

Suffix

Business Name

TRENT T HAYWOOD MD

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/21/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006