KELLY NICOLE CORK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054136

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

NICOLE

Last Name

CORK

Business Name

KELLY NICOLE CORK MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

03/24/2011