KATRINA L BIRCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062106

License Status

CANCELLED

Business

First Name

KATRINA

Middle

Last Name

BIRCH

Suffix

Business Name

KATRINA L BIRCH MD

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2016

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/03/2015