JESSIE WAYNE CASTRO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073447

License Status

CANCELLED

Business

Title

First Name

JESSIE

Middle

WAYNE

Last Name

CASTRO

Business Name

JESSIE WAYNE CASTRO DO

Original Issue Date

11/27/2018

Effective Date

11/27/2018

Expiration Date

11/26/2021

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/27/2018