DAVID MICHAEL THERIOT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065242

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

MICHAEL

Last Name

THERIOT

Business Name

DAVID MICHAEL THERIOT MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2015

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015