BRIDGET RUSSELL CARNAHAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073182

License Status

CANCELLED

Business

Title

First Name

BRIDGET

Middle

RUSSELL

Last Name

CARNAHAN

Business Name

BRIDGET RUSSELL CARNAHAN DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/12/2018