JACK MICHAEL PEACE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067230

License Status

EXPIRED

Business

Title

First Name

JACK

Middle

MICHAEL

Last Name

PEACE

Business Name

JACK MICHAEL PEACE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrical Anesthesia

Ever Disciplined

LastModifiedDate

11/19/2020