GLENNETTA MOORE COLEMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014596

License Status

EXPIRED

Business

First Name

GLENNETTA MOORE

Last Name

COLEMAN

Suffix

Business Name

GLENNETTA MOORE COLEMAN MD

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

05/01/1984

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006