TIMOTHY B LE SAGE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032928

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

LE SAGE

Business Name

TIMOTHY B LE SAGE

Original Issue Date

06/01/1995

Effective Date

06/01/1995

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006