JACK A DOAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031945

License Status

EXPIRED

Business

First Name

JACK A

Last Name

DOAH

Suffix

Business Name

JACK A DOAH DO

Original Issue Date

06/23/1994

Effective Date

06/23/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006