EMILY ROSE TEMPLE-WOOD DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076421

License Status

CANCELLED

Business

Title

First Name

EMILY

Middle

ROSE

Last Name

TEMPLE-WOOD

Business Name

EMILY ROSE TEMPLE-WOOD DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/04/2020