CAROLYN M GORMAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044057

License Status

EXPIRED

Business

First Name

CAROLYN

Middle

Last Name

GORMAN

Business Name

CAROLYN M GORMAN

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

06/26/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006