JEREMY ALAN HALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

ALAN

Last Name

HALL

Suffix

Business Name

JEREMY ALAN HALL MD

Original Issue Date

03/06/2008

Effective Date

03/06/2008

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008