JENNIFER KRISTY BANG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045962

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

KRISTY

Last Name

BANG

Suffix

Business Name

JENNIFER KRISTY BANG MD

Original Issue Date

06/16/2003

Effective Date

06/16/2003

Expiration Date

06/15/2006

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006