ERICA MAY CARLISLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052669

License Status

CANCELLED

Business

Title

First Name

ERICA

Middle

MAY

Last Name

CARLISLE

Business Name

ERICA MAY CARLISLE MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/11/2007