JESSICA LORING BODE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067668

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

LORING

Last Name

BODE

Business Name

JESSICA LORING BODE MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/02/2015