JACK T SALTZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019038

License Status

EXPIRED

Business

First Name

JACK T

Last Name

SALTZ

Suffix

Business Name

JACK T SALTZ MD

Original Issue Date

10/11/1985

Effective Date

10/11/1985

Expiration Date

10/07/1988

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006