THOMAS JAMES HAFERKAMP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075862

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

JAMES

Last Name

HAFERKAMP

Business Name

THOMAS JAMES HAFERKAMP MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/16/2020