JACQUELINE DIANE NEAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055837

License Status

CANCELLED

Business

Title

First Name

JACQUELINE

Middle

DIANE

Last Name

NEAL

Business Name

JACQUELINE DIANE NEAL MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

03/19/2012