JEFFREY BRIAN KNISLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066806

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

BRIAN

Last Name

KNISLEY

Business Name

JEFFREY BRIAN KNISLEY MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/26/2015