JEFF DAVID WERNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051151

License Status

EXPIRED

Business

First Name

JEFF

Middle

DAVID

Last Name

WERNER

Suffix

Business Name

JEFF DAVID WERNER MD

Original Issue Date

06/22/2006

Effective Date

06/22/2006

Expiration Date

06/21/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009