WILLEM A HANEKOM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032367

License Status

EXPIRED

Business

First Name

WILLEM A

Last Name

HANEKOM

Business Name

WILLEM A HANEKOM

Original Issue Date

09/29/1994

Effective Date

09/29/1994

Expiration Date

09/27/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Infectious Diseases

Ever Disciplined

LastModifiedDate

09/22/2006