JOLLY A PHILIP Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036711

License Status

EXPIRED

Business

First Name

JOLLY

Middle

Last Name

PHILIP

Business Name

JOLLY A PHILIP

Original Issue Date

06/13/1997

Effective Date

06/13/1997

Expiration Date

09/20/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006