ALLAN R MOTTRAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048133

License Status

CANCELLED

Business

First Name

ALLAN

Middle

Last Name

MOTTRAM

Suffix

Business Name

ALLAN R MOTTRAM 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

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006