TERRI L O MALLEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030878

License Status

EXPIRED

Business

First Name

TERRI L

Last Name

O MALLEY

Business Name

TERRI L O MALLEY

Original Issue Date

04/28/1994

Effective Date

04/28/1994

Expiration Date

06/19/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006