ELIZABETH BELLE JEANS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071154

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

BELLE

Last Name

JEANS

Business Name

ELIZABETH BELLE JEANS MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2018

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/25/2018