MONICA MARIE POMAVILLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075447

License Status

EXPIRED

Business

Title

First Name

MONICA

Middle

MARIE

Last Name

POMAVILLE

Business Name

MONICA MARIE POMAVILLE MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/06/2024