JACQUELINE ROSE MICHAEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083840

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

ROSE

Last Name

MICHAEL

Business Name

JACQUELINE ROSE MICHAEL MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/11/2024