REBECCA GRACE MADDRELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148153

License Status

ACTIVE

Business

Title

First Name

REBECCA

Middle

GRACE

Last Name

MADDRELL

Business Name

REBECCA GRACE MADDRELL MD

Original Issue Date

01/17/2019

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2023