ELIZABETH MARY GRACE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057210

License Status

EXPIRED

Business

First Name

ELIZABETH

Middle

MARY

Last Name

GRACE

Business Name

ELIZABETH MARY GRACE

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

08/29/2012