ADRIENNE NICOLE SMALLWOOD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069931

License Status

EXPIRED

Business

Title

First Name

ADRIENNE

Middle

NICOLE

Last Name

SMALLWOOD

Business Name

ADRIENNE NICOLE SMALLWOOD MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020