SURRENTHIA R PARKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022768

License Status

EXPIRED

Business

First Name

SURRENTHIA R

Last Name

PARKER

Suffix

Business Name

SURRENTHIA R PARKER MD

Original Issue Date

06/14/1988

Effective Date

06/14/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006