MARIETTA J ABRAHAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043369

License Status

EXPIRED

Business

Title

First Name

MARIETTA

Middle

Last Name

ABRAHAM

Business Name

MARIETTA J ABRAHAM MD

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006