JEREMY RICHARD KATZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055099

License Status

CANCELLED

Business

Title

First Name

JEREMY

Middle

RICHARD

Last Name

KATZ

Business Name

JEREMY RICHARD KATZ MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/04/2009