JEFFREY VINCENT AMPORT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067190

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

VINCENT

Last Name

AMPORT

Business Name

JEFFREY VINCENT AMPORT MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/02/2015