CARLA R RETIEF Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095459

License Status

NOT RENEWED

Business

First Name

CARLA R

Last Name

RETIEF

Business Name

CARLA R RETIEF

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006