JASON SHAOUL APPLEBAUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034023

License Status

EXPIRED

Business

First Name

JASON

Middle

SHAOUL

Last Name

APPLEBAUM

Suffix

Business Name

JASON SHAOUL APPLEBAUM MD

Original Issue Date

04/02/1996

Effective Date

04/02/1996

Expiration Date

06/23/1999

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

09/22/2006