CONCEPTA A MERRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040286

License Status

EXPIRED

Business

First Name

CONCEPTA

Middle

Last Name

MERRY

Business Name

CONCEPTA A MERRY

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

07/12/2007