JEROME S HOLAYSAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035542

License Status

EXPIRED

Business

First Name

JEROME

Middle

Last Name

HOLAYSAN

Business Name

JEROME S HOLAYSAN

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

12/26/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006