JENNIFER MARIE SPRAGUE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065410

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

SPRAGUE

Business Name

JENNIFER MARIE SPRAGUE MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/30/2014