EMILY SIGNE MIKA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060736

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

SIGNE

Last Name

MIKA

Business Name

EMILY SIGNE MIKA MD

Original Issue Date

01/02/2012

Effective Date

01/02/2012

Expiration Date

01/01/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/16/2011