MARY BETH MADONNA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022048

License Status

EXPIRED

Business

First Name

MARY BETH

Last Name

MADONNA

Business Name

MARY BETH MADONNA

Original Issue Date

05/07/1988

Effective Date

05/07/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006