ERIN M MCGONIGLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058845

License Status

CANCELLED

Business

Title

First Name

ERIN

Middle

Last Name

MCGONIGLE

Business Name

ERIN M MCGONIGLE MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/14/2010