ASHLEY LAVON BARKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062074

License Status

CANCELLED

Business

Title

First Name

ASHLEY

Middle

LAVON

Last Name

BARKS

Business Name

ASHLEY LAVON BARKS 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

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/24/2014