ALIESJE GODELIEVE CLARA SORGELOOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066135

License Status

CANCELLED

Business

Title

First Name

ALIESJE

Middle

GODELIEVE CLARA

Last Name

SORGELOOS

Business Name

ALIESJE GODELIEVE CLARA SORGELOOS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

03/13/2015