CAROLYN ELAINE AUFFENBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059552

License Status

CANCELLED

Business

Title

First Name

CAROLYN

Middle

ELAINE

Last Name

AUFFENBERG

Business Name

CAROLYN ELAINE AUFFENBERG MD

Original Issue Date

07/17/2014

Effective Date

07/17/2014

Expiration Date

07/16/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/17/2014