CHANEVE JEANNITON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052633

License Status

EXPIRED

Business

First Name

CHANEVE

Last Name

JEANNITON

Business Name

CHANEVE JEANNITON

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/19/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008