MARY TERESE WHIPPLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068751

License Status

EXPIRED

Business

Title

First Name

MARY

Middle

TERESE

Last Name

WHIPPLE

Business Name

MARY TERESE WHIPPLE MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

11/19/2020