JARED BLAINE HOSSACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115813

License Status

NOT RENEWED

Business

First Name

JARED

Middle

BLAINE

Last Name

HOSSACK

Suffix

Business Name

JARED BLAINE HOSSACK MD

Original Issue Date

05/01/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011