KAYLA ANN COUNCELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075710

License Status

CANCELLED

Business

Title

First Name

KAYLA

Middle

ANN

Last Name

COUNCELL

Business Name

KAYLA ANN COUNCELL 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

General Surgery

Ever Disciplined

LastModifiedDate

04/22/2020