JACKLINE S JOSEPH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JACKLINE S

Last Name

JOSEPH

Business Name

JACKLINE S JOSEPH

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/1999

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006