JANE S DETHLEFS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014689

License Status

EXPIRED

Business

First Name

JANE

Middle

Last Name

DETHLEFS

Business Name

JANE S DETHLEFS

Original Issue Date

06/30/1982

Effective Date

06/30/1982

Expiration Date

06/22/1984

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006