RALPH VINCENT CHASE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047129

License Status

EXPIRED

Business

First Name

RALPH

Middle

VINCENT

Last Name

CHASE

Suffix

Business Name

RALPH VINCENT CHASE MD

Original Issue Date

11/15/2003

Effective Date

11/15/2003

Expiration Date

11/14/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/26/2007