JACQUELINE JENNIFER HIRSCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069946

License Status

CANCELLED

Business

Title

First Name

JACQUELINE

Middle

JENNIFER

Last Name

HIRSCH

Business Name

JACQUELINE JENNIFER HIRSCH MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/27/2017