ADIA GERAN GEORGE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053392

License Status

CANCELLED

Business

First Name

ADIA

Middle

GERAN

Last Name

GEORGE

Suffix

Business Name

ADIA GERAN GEORGE MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/10/2007