AMY HAGAN BUCHANAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049257

License Status

EXPIRED

Business

Title

First Name

AMY

Middle

HAGAN

Last Name

BUCHANAN

Business Name

AMY HAGAN BUCHANAN MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/26/2008