JEAN ALYXA FEROLIN VENDIOLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074813

License Status

CANCELLED

Business

Title

First Name

JEAN ALYXA

Middle

FEROLIN

Last Name

VENDIOLA

Business Name

JEAN ALYXA FEROLIN VENDIOLA MD

Original Issue Date

06/22/2019

Effective Date

06/22/2019

Expiration Date

06/21/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/10/2019