JONATHAN THOMAS COTTRELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068093

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

THOMAS

Last Name

COTTRELL

Business Name

JONATHAN THOMAS COTTRELL DO

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/28/2016