EMILY JESSICA JAFFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104843

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

JESSICA

Last Name

JAFFE

Suffix

Business Name

EMILY JESSICA JAFFE MD

Original Issue Date

05/29/2001

Effective Date

05/29/2001

Expiration Date

07/31/2005

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006