EMMA RODEWALD DAISY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059269

License Status

CANCELLED

Business

Title

First Name

EMMA

Middle

RODEWALD

Last Name

DAISY

Business Name

EMMA RODEWALD DAISY MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

CHICAGO

State

Zip

60660

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014