JACKQUELINE ANNE TTE WARD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036212

License Status

EXPIRED

Business

First Name

JACKQUELINE ANNE

Middle

TTE

Last Name

WARD

Business Name

JACKQUELINE ANNE TTE WARD

Original Issue Date

05/21/1997

Effective Date

05/21/1997

Expiration Date

06/15/1998

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006