DONNA ROSE HART MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059294

License Status

EXPIRED

Business

Title

First Name

DONNA

Middle

ROSE

Last Name

HART

Business Name

DONNA ROSE HART MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/04/2015