JACK J HALL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000504

License Status

EXPIRED

Business

Title

First Name

JACK

Middle

Last Name

HALL

Business Name

JACK J HALL MD

Original Issue Date

04/11/2013

Effective Date

04/11/2013

Expiration Date

10/10/2013

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

11/27/2013