CHELSEA LEIGH FOURNIER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078616

License Status

CANCELLED

Business

Title

First Name

CHELSEA

Middle

LEIGH

Last Name

FOURNIER

Business Name

CHELSEA LEIGH FOURNIER MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/01/2021