MARY CHARLINE CALLIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056023

License Status

CANCELLED

Business

Title

First Name

MARY

Middle

CHARLINE

Last Name

CALLIS

Business Name

MARY CHARLINE CALLIS MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

PALOS PARK

State

Zip

60464

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/03/2016