JACQUELINE S JERUSS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100902

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

JERUSS

Business Name

JACQUELINE S JERUSS

Original Issue Date

08/05/1999

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017