KERRI Z MACHUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047714

License Status

CANCELLED

Business

First Name

KERRI

Middle

Last Name

MACHUT

Suffix

Business Name

KERRI Z MACHUT MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006