JULIETTE S PRENDIVILLE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076699

License Status

NOT RENEWED

Business

First Name

JULIETTE S

Last Name

PRENDIVILLE

Business Name

JULIETTE S PRENDIVILLE

Original Issue Date

02/20/1988

Effective Date

02/20/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006