JACQUELINE S LANDESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131154

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

Last Name

LANDESS

Business Name

JACQUELINE S LANDESS MD

Original Issue Date

08/14/2012

Effective Date

08/14/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014