MOLLY MCCORMACK ANDERSEN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069601

License Status

CANCELLED

Business

Title

First Name

MOLLY

Middle

MCCORMACK

Last Name

ANDERSEN

Business Name

MOLLY MCCORMACK ANDERSEN DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/23/2016