KATRECE DANIELLE OUTLAW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066397

License Status

EXPIRED

Business

Title

First Name

KATRECE

Middle

DANIELLE

Last Name

OUTLAW

Business Name

KATRECE DANIELLE OUTLAW MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/02/2019