ELIOT M WICKLIFF Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057068

License Status

EXPIRED

Business

First Name

ELIOT

Middle

Last Name

WICKLIFF

Business Name

ELIOT M WICKLIFF

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

08/29/2012