JENNIFER K PLICHTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054996

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

Last Name

PLICHTA

Business Name

JENNIFER K PLICHTA MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/04/2015