DARRELL W RAUWERDINK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000140

License Status

EXPIRED

Business

First Name

DARRELL

Middle

Last Name

RAUWERDINK

Business Name

DARRELL W RAUWERDINK

Original Issue Date

09/04/1990

Effective Date

09/04/1990

Expiration Date

10/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/15/2016