BLAIR ANDREW WORMER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000585

License Status

CANCELLED

Business

Title

First Name

BLAIR

Middle

ANDREW

Last Name

WORMER

Business Name

BLAIR ANDREW WORMER MD

Original Issue Date

01/01/2014

Effective Date

01/01/2014

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Surgery

Ever Disciplined

LastModifiedDate

03/13/2015