ANDREW CHARLES MACDOUGALL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051043

License Status

CANCELLED

Business

First Name

ANDREW

Middle

CHARLES

Last Name

MACDOUGALL

Suffix

Business Name

ANDREW CHARLES MACDOUGALL DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

06/16/2009