DAVIDA NAOMI GERENA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055469

License Status

CANCELLED

Business

Title

First Name

DAVIDA

Middle

NAOMI

Last Name

GERENA

Business Name

DAVIDA NAOMI GERENA MD

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/08/2008