ANGELA L FIELDS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035718

License Status

EXPIRED

Business

First Name

ANGELA

Middle

Last Name

FIELDS

Business Name

ANGELA L FIELDS

Original Issue Date

04/29/1997

Effective Date

04/29/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006