OLIVIA ROSE WITTE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062770

License Status

CANCELLED

Business

Title

First Name

OLIVIA

Middle

ROSE

Last Name

WITTE

Business Name

OLIVIA ROSE WITTE DO

Original Issue Date

06/19/2013

Effective Date

06/19/2013

Expiration Date

06/18/2016

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014