JAMES ANTHONY IDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050997

License Status

EXPIRED

Business

Title

First Name

JAMES

Middle

ANTHONY

Last Name

IDA

Business Name

JAMES ANTHONY IDA MD

Original Issue Date

06/23/2006

Effective Date

06/23/2006

Expiration Date

06/22/2007

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2007