THEODORE DAVID CONLIFFE JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031902

License Status

EXPIRED

Business

First Name

THEODORE

Middle

DAVID

Last Name

CONLIFFE

Suffix

JR MD

Business Name

THEODORE DAVID CONLIFFE JR MD

Original Issue Date

06/21/1994

Effective Date

06/21/1994

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006