JEREMY M PARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125325

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

PARKER

Suffix

Business Name

JEREMY M PARKER MD

Original Issue Date

03/30/2010

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014