LYNNETTE MARIE JACOBS-PUPINO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051224

License Status

CANCELLED

Business

Title

First Name

LYNNETTE

Middle

MARIE

Last Name

JACOBS-PUPINO

Business Name

LYNNETTE MARIE JACOBS-PUPINO MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006