CHRISTINA OFELIA FOREMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065072

License Status

CANCELLED

Business

Title

First Name

CHRISTINA

Middle

OFELIA

Last Name

FOREMAN

Business Name

CHRISTINA OFELIA FOREMAN MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/19/2017