JEFFEREY P KLEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105828

License Status

NOT RENEWED

Business

First Name

JEFFEREY

Middle

Last Name

KLEIN

Business Name

JEFFEREY P KLEIN

Original Issue Date

11/13/2001

Effective Date

11/13/2001

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006