AMY MARIE JEFFERS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056331

License Status

CANCELLED

Business

Title

First Name

AMY

Middle

MARIE

Last Name

JEFFERS

Business Name

AMY MARIE JEFFERS MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/16/2009