CLARA CHARLOTTE SCHLAICH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039000

License Status

CANCELLED

Business

First Name

CLARA

Middle

CHARLOTTE

Last Name

SCHLAICH

Business Name

CLARA CHARLOTTE SCHLAICH

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006