TIMOTHY MCELVENNY NARDINE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060945

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

MCELVENNY

Last Name

NARDINE

Business Name

TIMOTHY MCELVENNY NARDINE MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/11/2012