DANIEL JACKSON SEPE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076479

License Status

CANCELLED

Business

Title

First Name

DANIEL

Middle

JACKSON

Last Name

SEPE

Business Name

DANIEL JACKSON SEPE MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/03/2020