JAMIE AMANDA CHIN-THEODOROU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068540

License Status

CANCELLED

Business

Title

First Name

JAMIE

Middle

AMANDA

Last Name

CHIN-THEODOROU

Business Name

JAMIE AMANDA CHIN-THEODOROU MD

Original Issue Date

06/22/2016

Effective Date

06/22/2016

Expiration Date

06/21/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2016