KATIE LYNN MENA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058470

License Status

CANCELLED

Business

Title

First Name

KATIE

Middle

LYNN

Last Name

MENA

Business Name

KATIE LYNN MENA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2010