MARLON E EVERETT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039183

License Status

EXPIRED

Business

First Name

MARLON

Middle

Last Name

EVERETT

Business Name

MARLON E EVERETT

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

09/22/2006