ALVIN J DETTERLINE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044261

License Status

EXPIRED

Business

First Name

ALVIN

Middle

Last Name

DETTERLINE

Suffix

Business Name

ALVIN J DETTERLINE MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

07/16/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/25/2007