THOMAS A CLIATT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034286

License Status

EXPIRED

Business

First Name

THOMAS A

Last Name

CLIATT

Suffix

Business Name

THOMAS A CLIATT DO

Original Issue Date

05/09/1996

Effective Date

05/09/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006