RENEE MONIQUE POOLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049948

License Status

CANCELLED

Business

First Name

RENEE

Middle

MONIQUE

Last Name

POOLE

Suffix

Business Name

RENEE MONIQUE POOLE MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006