MALLORY WEIMO FENG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061767

License Status

CANCELLED

Business

Title

First Name

MALLORY

Middle

WEIMO

Last Name

FENG

Business Name

MALLORY WEIMO FENG MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014