JENNIFER LA VACCARE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031511

License Status

EXPIRED

Business

First Name

JENNIFER

Last Name

LA VACCARE

Business Name

JENNIFER LA VACCARE

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/30/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006