ALYSSA AMERINA NASH-GOELITZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044509

License Status

EXPIRED

Business

First Name

ALYSSA

Middle

AMERINA

Last Name

NASH-GOELITZ

Suffix

Business Name

ALYSSA AMERINA NASH-GOELITZ MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006