BETH DIANE MCQUISTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051244

License Status

EXPIRED

Business

First Name

BETH DIANE

Last Name

MCQUISTON

Business Name

BETH DIANE MCQUISTON

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/15/2009