JAMI MARIE EIDEM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054262

License Status

CANCELLED

Business

Title

First Name

JAMI

Middle

MARIE

Last Name

EIDEM

Business Name

JAMI MARIE EIDEM MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/10/2011