JEFFREY T GOLETZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056563

License Status

EXPIRED

Business

First Name

JEFFREY

Middle

Last Name

GOLETZ

Business Name

JEFFREY T GOLETZ

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/24/2010