JAMIE LYNN RICHARD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063326

License Status

CANCELLED

Business

Title

First Name

JAMIE

Middle

LYNN

Last Name

RICHARD

Business Name

JAMIE LYNN RICHARD MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014