JASON SHAOUL APPLEBAUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097149

License Status

INACTIVE

Business

First Name

JASON

Middle

SHAOUL

Last Name

APPLEBAUM

Suffix

Business Name

JASON SHAOUL APPLEBAUM MD

Original Issue Date

01/06/1998

Effective Date

01/06/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006