DAISY-SCARLETT MACCALLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000990

License Status

NOT RENEWED

Business

Title

First Name

DAISY-SCARLETT

Last Name

MACCALLUM

Business Name

DAISY-SCARLETT MACCALLUM MD

Original Issue Date

04/26/2014

Effective Date

04/26/2014

Expiration Date

05/25/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Sports Medicine (Family Practice)

Ever Disciplined

LastModifiedDate

08/12/2014