JODIE LYNNE GAW DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067559

License Status

CANCELLED

Business

Title

First Name

JODIE

Middle

LYNNE

Last Name

GAW

Business Name

JODIE LYNNE GAW DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2015