AUDREY FREDA OWARE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048138

License Status

CANCELLED

Business

First Name

AUDREY

Middle

FREDA

Last Name

OWARE

Suffix

Business Name

AUDREY FREDA OWARE MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006