AMANDA H BUCHANAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060715

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

Last Name

BUCHANAN

Business Name

AMANDA H BUCHANAN MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

08/25/2014

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2014