JASON BOHM WALDINGER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058305

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

BOHM

Last Name

WALDINGER

Business Name

JASON BOHM WALDINGER MD

Original Issue Date

06/24/2010

Effective Date

06/24/2010

Expiration Date

06/23/2011

City

LAKE BLUFF

State

Zip

60044

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011