JACQUELINE M GREENE - ROPER MD - Medical Doctor License in Illinois

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076669

License Status

CANCELLED

Business

Title

First Name

JACQUELINE

Middle

Last Name

GREENE - ROPER

Business Name

JACQUELINE M GREENE - ROPER MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

GLENDALE HEIGHTS

State

Zip

60139

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2020