JENNIFER LYNN ELLENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103252

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

ELLENS

Business Name

JENNIFER LYNN ELLENS MD

Original Issue Date

08/10/2000

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/21/2023