EMILY NICOLE PRENDERGAST MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057984

License Status

EXPIRED

Business

Title

First Name

EMILY

Middle

NICOLE

Last Name

PRENDERGAST

Business Name

EMILY NICOLE PRENDERGAST MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015