JONATHAN J TYE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020367

License Status

EXPIRED

Business

First Name

JONATHAN J

Last Name

TYE

Suffix

Business Name

JONATHAN J TYE MD

Original Issue Date

10/17/1986

Effective Date

10/17/1986

Expiration Date

08/13/1989

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006