EDWARD STEPHEN JENNINGS JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039270

License Status

INACTIVE

Business

First Name

EDWARD STEPHEN

Last Name

JENNINGS JR

Suffix

Business Name

EDWARD STEPHEN JENNINGS JR MD

Original Issue Date

08/17/1964

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011