MAX J PITLOSH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041254

License Status

EXPIRED

Business

Title

First Name

MAX

Middle

Last Name

PITLOSH

Business Name

MAX J PITLOSH MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006