ELIZABETH MARY PAYMENT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074987

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

MARY

Last Name

PAYMENT

Business Name

ELIZABETH MARY PAYMENT 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

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2019