MCKENZIE CLARE MOSENTHAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072167

License Status

CANCELLED

Business

Title

First Name

MCKENZIE

Middle

CLARE

Last Name

MOSENTHAL

Business Name

MCKENZIE CLARE MOSENTHAL MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/24/2019