DAVID J ABBOTT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034052

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

ABBOTT

Suffix

Business Name

DAVID J ABBOTT MD

Original Issue Date

04/25/1996

Effective Date

04/25/1996

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006