JANE GRACE KILLGORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

JANE GRACE

Last Name

KILLGORE

Suffix

Business Name

JANE GRACE KILLGORE MD

Original Issue Date

01/01/1997

Effective Date

07/18/1977

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006