LILA GOLLOGLY GLOTFELTY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065048

License Status

CANCELLED

Business

Title

First Name

LILA

Middle

GOLLOGLY

Last Name

GLOTFELTY

Business Name

LILA GOLLOGLY GLOTFELTY MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2014