JEGAN JABEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

JEGAN

Last Name

JABEZ

Business Name

JEGAN JABEZ

Original Issue Date

03/22/1993

Effective Date

03/22/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006