KIMBERLEY L TOLLIVER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033973

License Status

EXPIRED

Business

First Name

KIMBERLEY

Middle

Last Name

TOLLIVER

Business Name

KIMBERLEY L TOLLIVER

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

11/07/1998

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006