JED FROILAN CALATA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058398

License Status

CANCELLED

Business

Title

First Name

JED

Middle

FROILAN

Last Name

CALATA

Business Name

JED FROILAN CALATA MD

Original Issue Date

06/28/2010

Effective Date

06/28/2010

Expiration Date

06/27/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/12/2010