JENNIFER E SOUDERS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023195

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

Last Name

SOUDERS

Business Name

JENNIFER E SOUDERS

Original Issue Date

11/17/1988

Effective Date

11/17/1988

Expiration Date

11/16/1991

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006