THEADORE ALVIN HUFFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061623

License Status

CANCELLED

Business

Title

First Name

THEADORE

Middle

ALVIN

Last Name

HUFFORD

Business Name

THEADORE ALVIN HUFFORD MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/24/2014