TINA ZOFAKIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053743

License Status

CANCELLED

Business

Title

First Name

TINA

Last Name

ZOFAKIS

Business Name

TINA ZOFAKIS MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

CHICAGO

State

Zip

60659

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/25/2007