REENA DAISY PAUL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050452

License Status

CANCELLED

Business

First Name

REENA

Middle

DAISY

Last Name

PAUL

Suffix

Business Name

REENA DAISY PAUL MD

Original Issue Date

07/08/2005

Effective Date

07/08/2005

Expiration Date

07/07/2008

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006