JUSTIN EDWIN PILE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071996

License Status

CANCELLED

Business

Title

First Name

JUSTIN

Middle

EDWIN

Last Name

PILE

Business Name

JUSTIN EDWIN PILE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/18/2019