ALLISON HICKEY MARIANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063246

License Status

CANCELLED

Business

Title

First Name

ALLISON

Middle

HICKEY

Last Name

MARIANI

Business Name

ALLISON HICKEY MARIANI MD

Original Issue Date

06/23/2013

Effective Date

06/23/2013

Expiration Date

06/22/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014