SON D LE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033421

License Status

EXPIRED

Business

First Name

SON

Middle

Last Name

Business Name

SON D LE

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/20/1999

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006