TIMOTHY WARREN DAMROW DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066568

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

WARREN

Last Name

DAMROW

Business Name

TIMOTHY WARREN DAMROW DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

MANTENO

State

Zip

60950

County

KANKAKEE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/15/2015