ANGELA H MAHOME Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039229

License Status

EXPIRED

Business

First Name

ANGELA

Middle

Last Name

MAHOME

Business Name

ANGELA H MAHOME

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child & Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006