MARY ELENA CALDWELL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062652

License Status

EXPIRED

Business

First Name

MARY

Middle

ELENA

Last Name

CALDWELL

Suffix

Business Name

MARY ELENA CALDWELL DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

08/16/2016