ELIZABETH HUDGINS MAYLACK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063194

License Status

NOT RENEWED

Business

Title

First Name

ELIZABETH

Middle

HUDGINS

Last Name

MAYLACK

Business Name

ELIZABETH HUDGINS MAYLACK DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/19/2018