ERIN KATHLEEN BUCKLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056787

License Status

CANCELLED

Business

Title

First Name

ERIN

Middle

KATHLEEN

Last Name

BUCKLEY

Business Name

ERIN KATHLEEN BUCKLEY MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/27/2012