JED FROILAN CALATA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132055

License Status

NOT RENEWED

Business

Title

First Name

JED

Middle

FROILAN

Last Name

CALATA

Business Name

JED FROILAN CALATA MD

Original Issue Date

03/08/2013

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021