ANDREW MICHAEL HALL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054856

License Status

CANCELLED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

HALL

Business Name

ANDREW MICHAEL HALL

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/13/2008