AILIS CLYNE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000349

License Status

EXPIRED

Business

First Name

AILIS

Last Name

CLYNE

Business Name

AILIS CLYNE

Original Issue Date

10/26/1996

Effective Date

10/26/1996

Expiration Date

12/14/1996

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Cardiology

Ever Disciplined

LastModifiedDate

09/25/2006