HAROLD LAWRENCE DALTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035774

License Status

EXPIRED

Business

First Name

HAROLD LAWRENCE

Last Name

DALTON

Business Name

HAROLD LAWRENCE DALTON

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006