RACHAEL LIBERTIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073180

License Status

CANCELLED

Business

First Name

RACHAEL

Last Name

LIBERTIN

Business Name

RACHAEL LIBERTIN

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/13/2022