DAVID MAYO IMMEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082206

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

MAYO

Last Name

IMMEN

Business Name

DAVID MAYO IMMEN MD

Original Issue Date

06/21/2023

Effective Date

06/21/2023

Expiration Date

06/20/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/25/2023