JACQUELINE S JERUSS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

JERUSS

Business Name

JACQUELINE S JERUSS

Original Issue Date

06/30/2006

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017