ALISON MARIE PREMO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050142

License Status

CANCELLED

Business

First Name

ALISON

Middle

MARIE

Last Name

PREMO

Suffix

Business Name

ALISON MARIE PREMO MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/24/2009