ELIZABETH J CAMBRAY-FORKER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026612

License Status

EXPIRED

Business

First Name

ELIZABETH J

Last Name

CAMBRAY-FORKER

Suffix

Business Name

ELIZABETH J CAMBRAY-FORKER DO

Original Issue Date

05/10/1991

Effective Date

05/10/1991

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006