JEFFERY JAMES EAPEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073345

License Status

CANCELLED

Business

Title

First Name

JEFFERY

Middle

JAMES

Last Name

EAPEN

Business Name

JEFFERY JAMES EAPEN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/08/2018