JULIA A BANCROFT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034085

License Status

EXPIRED

Business

Title

First Name

JULIA

Middle

Last Name

BANCROFT

Business Name

JULIA A BANCROFT DO

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

06/20/1999

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006