CHRISTOPHER THOMAS MOLITOR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070433

License Status

CANCELLED

Business

Title

First Name

CHRISTOPHER

Middle

THOMAS

Last Name

MOLITOR

Business Name

CHRISTOPHER THOMAS MOLITOR MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/20/2017