TIMOTHY MICHAEL SLAVEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035420

License Status

EXPIRED

Business

Title

First Name

TIMOTHY

Middle

MICHAEL

Last Name

SLAVEN

Business Name

TIMOTHY MICHAEL SLAVEN DO

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

07/14/1999

City

OLYMPIA FLDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006