SARAH JAHNS KIDDER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055971

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

JAHNS

Last Name

KIDDER

Business Name

SARAH JAHNS KIDDER DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/21/2009