JAMIE M SLADE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060915

License Status

CANCELLED

Business

Title

First Name

JAMIE

Middle

Last Name

SLADE

Business Name

JAMIE M SLADE MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/24/2014