AMBER MARIAM DAVE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062325

License Status

CANCELLED

Business

First Name

AMBER

Middle

MARIAM

Last Name

DAVE

Suffix

Business Name

AMBER MARIAM DAVE MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014