MISSY MA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153574

License Status

NOT RENEWED

Business

Title

First Name

MISSY

Last Name

Business Name

MISSY MA MD

Original Issue Date

07/02/2020

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023