JOHN ROBERT MERRIAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079262

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

ROBERT

Last Name

MERRIAM

Business Name

JOHN ROBERT MERRIAM MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2023

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

03/06/2024