ALLISON ELIZABETH MAYFIELD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064981

License Status

CANCELLED

Business

Title

First Name

ALLISON

Middle

ELIZABETH

Last Name

MAYFIELD

Business Name

ALLISON ELIZABETH MAYFIELD MD

Original Issue Date

08/01/2019

Effective Date

08/01/2019

Expiration Date

07/31/2020

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Orthopaedic Sports Medicine

Ever Disciplined

LastModifiedDate

02/25/2019