WILLIAM PAUL JAQUIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

WILLIAM PAUL

Last Name

JAQUIS

Suffix

Business Name

WILLIAM PAUL JAQUIS MD

Original Issue Date

07/23/1992

Effective Date

07/23/1992

Expiration Date

07/31/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006