LILLIAN JANE MONTGOMERY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075003

License Status

CANCELLED

Business

Title

First Name

LILLIAN

Middle

JANE

Last Name

MONTGOMERY

Business Name

LILLIAN JANE MONTGOMERY DO

Original Issue Date

06/25/2022

Effective Date

06/25/2022

Expiration Date

06/24/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/08/2022