JENNIFER J VICKERY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000655

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

Last Name

VICKERY

Suffix

Business Name

JENNIFER J VICKERY MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

08/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006