JACK HSU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063078

License Status

INACTIVE

Business

First Name

JACK

Last Name

HSU

Suffix

Business Name

JACK HSU MD

Original Issue Date

06/23/1984

Effective Date

06/23/1984

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006