TIMOTHY PHILIP HALT DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

PHILIP

Last Name

HALT

Business Name

TIMOTHY PHILIP HALT DO

Original Issue Date

07/23/2009

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023