JACKSON BRYAN DEMLER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071111

License Status

CANCELLED

Business

Title

First Name

JACKSON

Middle

BRYAN

Last Name

DEMLER

Business Name

JACKSON BRYAN DEMLER DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/25/2017