MARYANN PHILLIPPI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034749

License Status

EXPIRED

Business

First Name

MARYANN

Last Name

PHILLIPPI

Business Name

MARYANN PHILLIPPI

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006