MAMTA JAIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046284

License Status

EXPIRED

Business

First Name

MAMTA

Last Name

JAIN

Suffix

Business Name

MAMTA JAIN MD

Original Issue Date

05/16/2003

Effective Date

05/16/2003

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006