EMILIE SUSAN PERIGO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049804

License Status

EXPIRED

Business

First Name

EMILIE

Middle

SUSAN

Last Name

PERIGO

Suffix

Business Name

EMILIE SUSAN PERIGO MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/26/2008