JASON MICHAEL ANGLE MD - Medical Doctor License in Illinois | # 125046810

JASON MICHAEL ANGLE MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046810

License Status

EXPIRED

Business

N

First Name

JASON

Middle

MICHAEL

Last Name

ANGLE

Suffix

MD

Business Name

JASON MICHAEL ANGLE MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2006

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006