CAROL M BIRT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020308

License Status

EXPIRED

Business

First Name

CAROL

Middle

Last Name

BIRT

Business Name

CAROL M BIRT

Original Issue Date

09/10/1986

Effective Date

09/10/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/01/2008