AMANDA K TOLLIVER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001283

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

Last Name

TOLLIVER

Business Name

AMANDA K TOLLIVER MD

Original Issue Date

03/11/2019

Effective Date

03/11/2019

Expiration Date

09/10/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/13/2020