JASON SHAOUL APPLEBAUM MD - Medical Doctor License in Illinois | # 125034023

JASON SHAOUL APPLEBAUM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034023

License Status

EXPIRED

Business

N

First Name

JASON

Middle

SHAOUL

Last Name

APPLEBAUM

Suffix

MD

Business Name

JASON SHAOUL APPLEBAUM MD

Original Issue Date

04/02/1996

Effective Date

04/02/1996

Expiration Date

06/23/1999

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

09/22/2006