JULIAN DAVID WILLOUGHBY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067971

License Status

EXPIRED

Business

Title

First Name

JULIAN

Middle

DAVID

Last Name

WILLOUGHBY

Business Name

JULIAN DAVID WILLOUGHBY MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Sports Medicine (PM&R)

Ever Disciplined

LastModifiedDate

09/19/2017