ANTONETTE OTIS WHITEHEAD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053492

License Status

EXPIRED

Business

First Name

ANTONETTE

Middle

OTIS

Last Name

WHITEHEAD

Suffix

Business Name

ANTONETTE OTIS WHITEHEAD MD

Original Issue Date

06/30/2010

Effective Date

06/30/2010

Expiration Date

06/29/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/19/2011