JASMIN URSULA BREITUNG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041865

License Status

EXPIRED

Business

First Name

JASMIN

Middle

URSULA

Last Name

BREITUNG

Suffix

Business Name

JASMIN URSULA BREITUNG MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006