ROBERT JULIUSZ MAYDELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055431

License Status

CANCELLED

Business

Title

First Name

ROBERT

Middle

JULIUSZ

Last Name

MAYDELL

Business Name

ROBERT JULIUSZ MAYDELL MD

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

08/07/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Child and Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

08/01/2011