MICHAEL LAURENCE HOFFMAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046912

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

LAURENCE

Last Name

HOFFMAN

Suffix

Business Name

MICHAEL LAURENCE HOFFMAN DO

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006