MAXWELL RICH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079512

License Status

CANCELLED

Business

Title

First Name

MAXWELL

Last Name

RICH

Business Name

MAXWELL RICH DO

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/28/2022