THEODORE RAY HALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055586

License Status

EXPIRED

Business

First Name

THEODORE

Middle

RAY

Last Name

HALL

Business Name

THEODORE RAY HALL

Original Issue Date

02/01/2009

Effective Date

02/01/2009

Expiration Date

08/01/2009

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/05/2009