AUDREY MARIA HODGE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037230

License Status

CANCELLED

Business

First Name

AUDREY MARIA

Last Name

HODGE

Business Name

AUDREY MARIA HODGE

Original Issue Date

01/01/1997

Effective Date

01/01/1997

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006