CAROLYNN LEEANN PRICE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064489

License Status

CANCELLED

Business

Title

First Name

CAROLYNN

Middle

LEEANN

Last Name

PRICE

Business Name

CAROLYNN LEEANN PRICE MD

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/29/2014