JERRY R KLEIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058918

License Status

NOT RENEWED

Business

First Name

JERRY R

Last Name

KLEIN

Suffix

Business Name

JERRY R KLEIN MD

Original Issue Date

07/20/1979

Effective Date

07/20/1979

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006