MARCY L STREET MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019488

License Status

EXPIRED

Business

First Name

MARCY L

Last Name

STREET

Suffix

Business Name

MARCY L STREET MD

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

06/27/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006