AMBER-NICOLE BIRD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060079

License Status

CANCELLED

Business

Title

First Name

AMBER-NICOLE

Last Name

BIRD

Business Name

AMBER-NICOLE BIRD MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014