JACK MICHAEL WOLFSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098827

License Status

NOT RENEWED

Business

First Name

JACK

Middle

MICHAEL

Last Name

WOLFSON

Suffix

Business Name

JACK MICHAEL WOLFSON DO

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006