JILL SUSANNE MAASKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049076

License Status

CANCELLED

Business

First Name

JILL

Middle

SUSANNE

Last Name

MAASKE

Suffix

Business Name

JILL SUSANNE MAASKE MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60605

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006