JEROME T MILITANTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047998

License Status

NOT RENEWED

Business

First Name

JEROME T

Last Name

MILITANTE

Suffix

Business Name

JEROME T MILITANTE MD

Original Issue Date

08/23/1973

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011