KIMBERLY BROOKE GOLISCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074327

License Status

CANCELLED

Business

Title

First Name

KIMBERLY

Middle

BROOKE

Last Name

GOLISCH

Business Name

KIMBERLY BROOKE GOLISCH MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/28/2019