KELLY MAE ATASSI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071616

License Status

CANCELLED

Business

Title

First Name

KELLY

Middle

MAE

Last Name

ATASSI

Business Name

KELLY MAE ATASSI DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

02/21/2018