ANTHONY ANDREW WEST DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054617

License Status

EXPIRED

Business

Title

First Name

ANTHONY

Middle

ANDREW

Last Name

WEST

Business Name

ANTHONY ANDREW WEST DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

08/29/2012