KAYLENE ELIZABETH FIALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070207

License Status

EXPIRED

Business

Title

First Name

KAYLENE

Middle

ELIZABETH

Last Name

FIALA

Business Name

KAYLENE ELIZABETH FIALA MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

10/11/2022