OTTO LOUIS JACQUES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024564

License Status

EXPIRED

Business

First Name

OTTO

Last Name

LOUIS JACQUES

Business Name

OTTO LOUIS JACQUES

Original Issue Date

10/25/1989

Effective Date

10/25/1989

Expiration Date

10/24/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006