CARMEN DIANELA JAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066699

License Status

EXPIRED

Business

Title

First Name

CARMEN

Middle

DIANELA

Last Name

JAN

Business Name

CARMEN DIANELA JAN MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018