SPENCER SALINE KIRK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065628

License Status

CANCELLED

Business

Title

First Name

SPENCER

Middle

SALINE

Last Name

KIRK

Business Name

SPENCER SALINE KIRK MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/23/2014