ADDISON BAILEY WITT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080405

License Status

CANCELLED

Business

Title

First Name

ADDISON

Middle

BAILEY

Last Name

WITT

Business Name

ADDISON BAILEY WITT DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

12/11/2024