MICHAEL ANDREW WARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056225

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

WARD

Suffix

Business Name

MICHAEL ANDREW WARD MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/20/2009