DIVYA JAIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052489

License Status

CANCELLED

Business

Title

First Name

DIVYA

Last Name

JAIN

Business Name

DIVYA JAIN DO

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2007