TIMOTHY DANIEL MARSHO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050406

License Status

CANCELLED

Business

First Name

TIMOTHY

Middle

DANIEL

Last Name

MARSHO

Suffix

Business Name

TIMOTHY DANIEL MARSHO DO

Original Issue Date

06/29/2005

Effective Date

06/29/2005

Expiration Date

06/28/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006