KAMILLE ELIZABETH ROMAIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067120

License Status

CANCELLED

Business

Title

First Name

KAMILLE

Middle

ELIZABETH

Last Name

ROMAIN

Business Name

KAMILLE ELIZABETH ROMAIN MD

Original Issue Date

07/16/2018

Effective Date

07/16/2018

Expiration Date

10/05/2018

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/16/2018