JAKE R CARPENTER-THOMPSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072003

License Status

EXPIRED

Business

First Name

JAKE

Middle

Last Name

CARPENTER-THOMPSON

Business Name

JAKE R CARPENTER-THOMPSON

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022