CARLA R RETIEF Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031948

License Status

EXPIRED

Business

First Name

CARLA R

Last Name

RETIEF

Business Name

CARLA R RETIEF

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006