JASON TODD UMFLEET MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045230

License Status

EXPIRED

Business

First Name

JASON

Middle

TODD

Last Name

UMFLEET

Suffix

Business Name

JASON TODD UMFLEET MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

09/22/2006