JENNIFER LA VACCARE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093391

License Status

INACTIVE

Business

First Name

JENNIFER

Last Name

LA VACCARE

Business Name

JENNIFER LA VACCARE

Original Issue Date

07/05/1996

Effective Date

07/11/2011

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014