TIMOTHY S HART MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

TIMOTHY S

Last Name

HART

Suffix

Business Name

TIMOTHY S HART MD

Original Issue Date

06/08/1990

Effective Date

06/08/1990

Expiration Date

07/31/1999

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006