KATHLEEN MARY GORMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069366

License Status

EXPIRED

Business

Title

First Name

KATHLEEN

Middle

MARY

Last Name

GORMAN

Business Name

KATHLEEN MARY GORMAN MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Neurocritical Care

Ever Disciplined

LastModifiedDate

09/19/2017