GINTE Z JASULAITIS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025784

License Status

EXPIRED

Business

First Name

GINTE

Middle

Last Name

JASULAITIS

Business Name

GINTE Z JASULAITIS

Original Issue Date

06/28/1990

Effective Date

06/28/1990

Expiration Date

06/30/1991

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006