ANDRA KAY CICERO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053031

License Status

CANCELLED

Business

First Name

ANDRA

Middle

KAY

Last Name

CICERO

Suffix

Business Name

ANDRA KAY CICERO DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

04/01/2010