MARIE MARILYN PACKER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055494

License Status

EXPIRED

Business

Title

First Name

MARIE

Middle

MARILYN

Last Name

PACKER

Business Name

MARIE MARILYN PACKER MD

Original Issue Date

07/02/2008

Effective Date

07/02/2008

Expiration Date

07/01/2011

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011