PHILLIP CONRAD GORRINDO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064819

License Status

CANCELLED

Business

Title

First Name

PHILLIP

Middle

CONRAD

Last Name

GORRINDO

Business Name

PHILLIP CONRAD GORRINDO MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/19/2017