RICHARD A CALDWELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035575

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

CALDWELL

Business Name

RICHARD A CALDWELL

Original Issue Date

11/26/1996

Effective Date

11/26/1996

Expiration Date

06/16/2000

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

1996013230

Action

Probation

Discipline Start Date

06/17/1997

Discipline End Date

06/14/2001