REEBA ANNIE PRINCE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060254

License Status

CANCELLED

Business

Title

First Name

REEBA

Middle

ANNIE

Last Name

PRINCE

Business Name

REEBA ANNIE PRINCE MD

Original Issue Date

07/07/2014

Effective Date

07/07/2014

Expiration Date

11/05/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/07/2014