JERRY W HUSSONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029195

License Status

EXPIRED

Business

First Name

JERRY W

Last Name

HUSSONG

Business Name

JERRY W HUSSONG

Original Issue Date

12/30/1992

Effective Date

12/30/1992

Expiration Date

12/29/1995

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006