ROBERT RUDOLPH SLATER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037455

License Status

CANCELLED

Business

First Name

ROBERT

Middle

RUDOLPH

Last Name

SLATER

Suffix

Business Name

ROBERT RUDOLPH SLATER MD

Original Issue Date

05/04/1998

Effective Date

05/04/1998

Expiration Date

09/23/2002

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006