JENNIFER MARIE DELUKA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057744

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

DELUKA

Business Name

JENNIFER MARIE DELUKA

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/14/2010