JACK MICHAEL WOLFSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034224

License Status

EXPIRED

Business

First Name

JACK

Middle

MICHAEL

Last Name

WOLFSON

Suffix

Business Name

JACK MICHAEL WOLFSON DO

Original Issue Date

05/08/1996

Effective Date

05/08/1996

Expiration Date

06/30/1999

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006