JACOB JUSTIN FRIEDMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070528

License Status

CANCELLED

Business

Title

First Name

JACOB

Middle

JUSTIN

Last Name

FRIEDMAN

Business Name

JACOB JUSTIN FRIEDMAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

04/24/2020