TISCHELLE KENYETTA GATLIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071265

License Status

CANCELLED

Business

Title

First Name

TISCHELLE

Middle

KENYETTA

Last Name

GATLIN

Business Name

TISCHELLE KENYETTA GATLIN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/26/2020