EMILY MARA GOTTLIEB DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057151

License Status

EXPIRED

Business

Title

First Name

EMILY

Middle

MARA

Last Name

GOTTLIEB

Business Name

EMILY MARA GOTTLIEB DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/07/2013