ANDREW NATHAN PIKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045115

License Status

CANCELLED

Business

First Name

ANDREW

Middle

NATHAN

Last Name

PIKE

Suffix

Business Name

ANDREW NATHAN PIKE MD

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006