SPENCER THOMAS HART MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065827

License Status

EXPIRED

Business

Title

First Name

SPENCER

Middle

THOMAS

Last Name

HART

Business Name

SPENCER THOMAS HART MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

10/02/2019