JACK ENDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050359

License Status

NOT RENEWED

Business

First Name

JACK

Last Name

ENDE

Suffix

Business Name

JACK ENDE MD

Original Issue Date

11/26/1974

Effective Date

11/26/1974

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006