EVAN CHARLES OSMUNDSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058645

License Status

EXPIRED

Business

Title

First Name

EVAN

Middle

CHARLES

Last Name

OSMUNDSON

Business Name

EVAN CHARLES OSMUNDSON MD

Original Issue Date

06/25/2010

Effective Date

06/25/2010

Expiration Date

06/24/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011