KAREN A SLACK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019914

License Status

EXPIRED

Business

First Name

KAREN A

Last Name

SLACK

Suffix

Business Name

KAREN A SLACK MD

Original Issue Date

06/30/1986

Effective Date

06/30/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006