SALLYAN KAYLA GREEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078668

License Status

CANCELLED

Business

Title

First Name

SALLYAN

Middle

KAYLA

Last Name

GREEN

Business Name

SALLYAN KAYLA GREEN MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/23/2021