KEVIN RICHARD CARLILE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058153

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

RICHARD

Last Name

CARLILE

Business Name

KEVIN RICHARD CARLILE MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/11/2012