REBECCA KATHRYN KIRK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072878

License Status

CANCELLED

Business

Title

First Name

REBECCA

Middle

KATHRYN

Last Name

KIRK

Business Name

REBECCA KATHRYN KIRK MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/23/2018