HANNAH FAE AULTMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071648

License Status

EXPIRED

Business

Title

First Name

HANNAH

Middle

FAE

Last Name

AULTMAN

Business Name

HANNAH FAE AULTMAN MD

Original Issue Date

08/01/2018

Effective Date

08/01/2018

Expiration Date

07/31/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Hand Surgery(Surgery)

Ever Disciplined

LastModifiedDate

10/02/2019