TINA F JENQ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046181

License Status

EXPIRED

Business

First Name

TINA

Middle

Last Name

JENQ

Suffix

Business Name

TINA F JENQ MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/26/2008