ANDREW MICHAEL SOUTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055838

License Status

EXPIRED

Business

First Name

ANDREW

Middle

MICHAEL

Last Name

SOUTH

Business Name

ANDREW MICHAEL SOUTH

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012