J TERRY ERNEST MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038303

License Status

INACTIVE

Business

Title

First Name

Middle

TERRY

Last Name

ERNEST

Business Name

J TERRY ERNEST MD

Original Issue Date

02/20/1963

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011