JACQUELINE M GOWAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073515

License Status

CANCELLED

Business

Title

First Name

JACQUELINE

Middle

Last Name

GOWAN

Business Name

JACQUELINE M GOWAN MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60608

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/08/2019