JEAN DIANA CARRUTHERS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000259

License Status

EXPIRED

Business

First Name

JEAN

Middle

DIANA

Last Name

CARRUTHERS

Suffix

Business Name

JEAN DIANA CARRUTHERS MD

Original Issue Date

09/28/2005

Effective Date

09/28/2005

Expiration Date

04/06/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006