JACK MORTIMER BUFFINGTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033389

License Status

NOT RENEWED

Business

First Name

JACK MORTIMER

Last Name

BUFFINGTON

Suffix

Business Name

JACK MORTIMER BUFFINGTON MD

Original Issue Date

05/18/1955

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017