MARIS FAYE MCINTYRE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050879

License Status

CANCELLED

Business

First Name

MARIS

Middle

FAYE

Last Name

MCINTYRE

Suffix

Business Name

MARIS FAYE MCINTYRE DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Practice/Emergency Medicine

Ever Disciplined

LastModifiedDate

11/20/2012