JACQUELINE JASPAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

JASPAN

Suffix

Business Name

JACQUELINE JASPAN MD

Original Issue Date

09/22/1982

Effective Date

09/22/1982

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006