MICHAEL STUART HAWTHORNE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045640

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

STUART

Last Name

HAWTHORNE

Suffix

Business Name

MICHAEL STUART HAWTHORNE MD

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

06/29/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006