JACQUELINE MARIE MORANO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064212

License Status

CANCELLED

Business

First Name

JACQUELINE

Middle

MARIE

Last Name

MORANO

Suffix

Business Name

JACQUELINE MARIE MORANO MD

Original Issue Date

07/03/2016

Effective Date

07/03/2016

Expiration Date

07/02/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/13/2016