ANDREW SCOTT FLUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057427

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

SCOTT

Last Name

FLUM

Business Name

ANDREW SCOTT FLUM MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/27/2010