ANDREW H MAIXNER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000731

License Status

EXPIRED

Business

First Name

ANDREW

Middle

Last Name

MAIXNER

Business Name

ANDREW H MAIXNER

Original Issue Date

11/19/2007

Effective Date

11/19/2007

Expiration Date

12/18/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/03/2008