NANCY R CHURCH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025337

License Status

EXPIRED

Business

First Name

NANCY R

Last Name

CHURCH

Suffix

Business Name

NANCY R CHURCH MD

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

06/24/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006