MILES PATRICK SPARROW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047102

License Status

EXPIRED

Business

First Name

MILES

Middle

PATRICK

Last Name

SPARROW

Suffix

Business Name

MILES PATRICK SPARROW MD

Original Issue Date

10/01/2003

Effective Date

10/01/2003

Expiration Date

10/14/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006