MIKA C GORMAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001474

License Status

EXPIRED

Business

Title

First Name

MIKA

Middle

Last Name

GORMAN

Business Name

MIKA C GORMAN DO

Original Issue Date

09/19/2022

Effective Date

09/19/2022

Expiration Date

10/18/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

02/15/2023