JEANNE M MICLKE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028221

License Status

EXPIRED

Business

First Name

JEANNE

Middle

Last Name

MICLKE

Business Name

JEANNE M MICLKE

Original Issue Date

05/18/1992

Effective Date

05/18/1992

Expiration Date

06/21/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006