PERRY E MARSHALL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034552

License Status

EXPIRED

Business

First Name

PERRY

Middle

Last Name

MARSHALL

Suffix

Business Name

PERRY E MARSHALL DO

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

07/18/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006