KIAH DEVON MARSHALL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050338

License Status

EXPIRED

Business

First Name

KIAH

Middle

DEVON

Last Name

MARSHALL

Business Name

KIAH DEVON MARSHALL

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/31/2008