JESSICA ANN HAUSE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064850

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

ANN

Last Name

HAUSE

Business Name

JESSICA ANN HAUSE MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2014