JAYNEE ELLISE PENDERGAST DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066219

License Status

CANCELLED

Business

Title

First Name

JAYNEE

Middle

ELLISE

Last Name

PENDERGAST

Business Name

JAYNEE ELLISE PENDERGAST DO

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

06/28/2018

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/24/2015