JEFFREY CHARLES MIRSKY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060890

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

CHARLES

Last Name

MIRSKY

Business Name

JEFFREY CHARLES MIRSKY MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014