JORDAN CAMERON TASSE Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054045

License Status

CANCELLED

Business

First Name

JORDAN

Middle

CAMERON

Last Name

TASSE

Business Name

JORDAN CAMERON TASSE

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

WINNETKA

State

Zip

60093

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/01/2008