PRISCILLA MADELEYNE GARCIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078167

License Status

CANCELLED

Business

Title

First Name

PRISCILLA

Middle

MADELEYNE

Last Name

GARCIA

Business Name

PRISCILLA MADELEYNE GARCIA MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/15/2021