JEROME WILBORN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020726

License Status

EXPIRED

Business

Title

First Name

JEROME

Last Name

WILBORN

Business Name

JEROME WILBORN MD

Original Issue Date

05/06/1987

Effective Date

05/06/1987

Expiration Date

06/23/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006