JEROME L HINES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015099

License Status

EXPIRED

Business

First Name

JEROME L

Last Name

HINES

Suffix

Business Name

JEROME L HINES MD

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

01/01/1985

City

CHICAG

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006