AMBER TALYN PINCAVAGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052696

License Status

CANCELLED

Business

Title

First Name

AMBER

Middle

TALYN

Last Name

PINCAVAGE

Business Name

AMBER TALYN PINCAVAGE 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

Internal Medicine

Ever Disciplined

LastModifiedDate

04/18/2007