KIMBERLY ANN VERNON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049633

License Status

CANCELLED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

VERNON

Suffix

Business Name

KIMBERLY ANN VERNON MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006