GASTON OFMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067570

License Status

CANCELLED

Business

Title

First Name

GASTON

Last Name

OFMAN

Business Name

GASTON OFMAN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

06/10/2015