IRA AREL VIDOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046403

License Status

EXPIRED

Business

First Name

IRA

Middle

AREL

Last Name

VIDOR

Suffix

Business Name

IRA AREL VIDOR MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2004

City

EVANSTON

State

Zip

60202

Ever Disciplined

LastModifiedDate

09/22/2006