JESSICA LEA BOETTCHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139605

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LEA

Last Name

BOETTCHER

Suffix

Business Name

JESSICA LEA BOETTCHER MD

Original Issue Date

01/14/2016

Effective Date

01/14/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017