MICHAELA M KLYVE WOOD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059531

License Status

EXPIRED

Business

First Name

MICHAELA

Middle

Last Name

KLYVE WOOD

Business Name

MICHAELA M KLYVE WOOD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/13/2015