TRIPTI B JENA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053764

License Status

NOT RENEWED

Business

First Name

TRIPTI B

Last Name

JENA

Suffix

Business Name

TRIPTI B JENA MD

Original Issue Date

10/14/1976

Effective Date

10/14/1976

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006