JASON MICHAEL ANGLE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046810

License Status

EXPIRED

Business

First Name

JASON

Middle

MICHAEL

Last Name

ANGLE

Suffix

Business Name

JASON MICHAEL ANGLE MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006