GRACE CHITA ODI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059911

License Status

EXPIRED

Business

First Name

GRACE

Middle

CHITA

Last Name

ODI

Suffix

Business Name

GRACE CHITA ODI MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015