JENNIFER MICHELLE LANGSTON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051469

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

MICHELLE

Last Name

LANGSTON

Suffix

Business Name

JENNIFER MICHELLE LANGSTON MD

Original Issue Date

06/29/2006

Effective Date

06/29/2006

Expiration Date

06/28/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006