BARRY LEE CHILDRESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040422

License Status

NOT RENEWED

Business

First Name

BARRY LEE

Last Name

CHILDRESS

Suffix

Business Name

BARRY LEE CHILDRESS MD

Original Issue Date

07/05/1966

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017