JONATHAN BLAKE STRAUSS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048517

License Status

CANCELLED

Business

First Name

JONATHAN

Middle

BLAKE

Last Name

STRAUSS

Suffix

Business Name

JONATHAN BLAKE STRAUSS MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006