PATRICIA WHITESIDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075593

License Status

CANCELLED

Business

Title

First Name

PATRICIA

Last Name

WHITESIDE

Business Name

PATRICIA WHITESIDE MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/19/2020