PATRICK TEAL LYONS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062467

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

TEAL

Last Name

LYONS

Business Name

PATRICK TEAL LYONS MD

Original Issue Date

07/23/2012

Effective Date

07/23/2012

Expiration Date

07/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014