ERIC JONATHAN JENKIE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064213

License Status

CANCELLED

Business

First Name

ERIC

Middle

JONATHAN

Last Name

JENKIE

Suffix

Business Name

ERIC JONATHAN JENKIE DO

Original Issue Date

07/03/2013

Effective Date

07/03/2013

Expiration Date

07/02/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/24/2014