KATHLEEN M MIMNAGH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000200

License Status

EXPIRED

Business

First Name

KATHLEEN

Middle

Last Name

MIMNAGH

Suffix

Business Name

KATHLEEN M MIMNAGH MD

Original Issue Date

06/13/2003

Effective Date

06/13/2003

Expiration Date

01/08/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006