TREVOR WILLIAM REICHMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047833

License Status

CANCELLED

Business

First Name

TREVOR

Middle

WILLIAM

Last Name

REICHMAN

Suffix

Business Name

TREVOR WILLIAM REICHMAN MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006