MOIRA COURTNEY MCNULTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057679

License Status

CANCELLED

Business

Title

First Name

MOIRA

Middle

COURTNEY

Last Name

MCNULTY

Business Name

MOIRA COURTNEY MCNULTY MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2010