JENNIFER L LIEDEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035691

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

LIEDEL

Business Name

JENNIFER L LIEDEL

Original Issue Date

04/25/1997

Effective Date

04/25/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006