JON R DOUD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019327

License Status

EXPIRED

Business

First Name

JON R

Last Name

DOUD

Business Name

JON R DOUD

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006