ELLEN THERESE PARKER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061740

License Status

CANCELLED

Business

Title

First Name

ELLEN

Middle

THERESE

Last Name

PARKER

Business Name

ELLEN THERESE PARKER MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014