JEAN R GOGOLIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028365

License Status

EXPIRED

Business

First Name

JEAN R

Last Name

GOGOLIN

Business Name

JEAN R GOGOLIN

Original Issue Date

05/27/1992

Effective Date

05/27/1992

Expiration Date

06/21/1995

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006