JULIETTE S PRENDIVILLE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020178

License Status

EXPIRED

Business

First Name

JULIETTE S

Last Name

PRENDIVILLE

Business Name

JULIETTE S PRENDIVILLE

Original Issue Date

07/30/1986

Effective Date

07/30/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006