WESLEY HAMILTON SELF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048916

License Status

EXPIRED

Business

First Name

WESLEY

Middle

HAMILTON

Last Name

SELF

Suffix

Business Name

WESLEY HAMILTON SELF MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/30/2009