AMY GWIRA CREPPY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052239

License Status

EXPIRED

Business

First Name

AMY

Middle

GWIRA

Last Name

CREPPY

Business Name

AMY GWIRA CREPPY

Original Issue Date

07/09/2007

Effective Date

07/09/2007

Expiration Date

07/08/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/08/2010