JEROME DALLAS WINEGARDEN III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102482

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

DALLAS

Last Name

WINEGARDEN

Suffix

III MD

Business Name

JEROME DALLAS WINEGARDEN III MD

Original Issue Date

05/15/2000

Effective Date

05/15/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006