MICHAEL CHRISTOPHER LARGE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049267

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

CHRISTOPHER

Last Name

LARGE

Suffix

Business Name

MICHAEL CHRISTOPHER LARGE MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/31/2008