RANDY BERTRAND HEBERT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047557

License Status

EXPIRED

Business

First Name

RANDY

Middle

BERTRAND

Last Name

HEBERT

Business Name

RANDY BERTRAND HEBERT

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007