LEVI FUNCHES JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044055

License Status

EXPIRED

Business

First Name

LEVI

Last Name

FUNCHES JR

Business Name

LEVI FUNCHES JR

Original Issue Date

06/18/2002

Effective Date

06/18/2002

Expiration Date

06/24/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006