BARRY STEEN MAROLT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066060

License Status

CANCELLED

Business

Title

First Name

BARRY

Last Name

STEEN MAROLT

Business Name

BARRY STEEN MAROLT DO

Original Issue Date

09/01/2014

Effective Date

09/01/2014

Expiration Date

08/31/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

07/14/2014