DAMIAN CHARLES HANEKOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068045

License Status

EXPIRED

Business

Title

First Name

DAMIAN

Middle

CHARLES

Last Name

HANEKOM

Business Name

DAMIAN CHARLES HANEKOM MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019