AMANDA TEMPLE WALBORN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075623

License Status

CANCELLED

Business

Title

First Name

AMANDA

Middle

TEMPLE

Last Name

WALBORN

Business Name

AMANDA TEMPLE WALBORN MD

Original Issue Date

06/24/2023

Effective Date

06/24/2023

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/16/2023