JESSE ANTHONY SALLY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055162

License Status

EXPIRED

Business

Title

First Name

JESSE

Middle

ANTHONY

Last Name

SALLY

Business Name

JESSE ANTHONY SALLY DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

07/15/2009