ASHA ANNE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070118

License Status

CANCELLED

Business

Title

First Name

ASHA

Last Name

ANNE

Business Name

ASHA ANNE DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

08/19/2020

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/16/2020