JODI S CARBONE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023555

License Status

EXPIRED

Business

First Name

JODI S

Last Name

CARBONE

Business Name

JODI S CARBONE

Original Issue Date

05/05/1989

Effective Date

05/05/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006