JACKLINE S JOSEPH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031413

License Status

EXPIRED

Business

First Name

JACKLINE S

Last Name

JOSEPH

Business Name

JACKLINE S JOSEPH

Original Issue Date

05/23/1994

Effective Date

05/23/1994

Expiration Date

01/01/1997

City

MELROSE PARK

State

Zip

60162

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006