KIMBERLY FRANCES SHOWALTER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065897

License Status

CANCELLED

Business

Title

First Name

KIMBERLY

Middle

FRANCES

Last Name

SHOWALTER

Business Name

KIMBERLY FRANCES SHOWALTER MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2014