MICHAEL EUGENE JASIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000361

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

EUGENE

Last Name

JASIN

Business Name

MICHAEL EUGENE JASIN MD

Original Issue Date

09/18/2008

Effective Date

09/18/2008

Expiration Date

03/17/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/18/2009