JENNIFER A NEWPORT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113522

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

NEWPORT

Business Name

JENNIFER A NEWPORT

Original Issue Date

04/21/2005

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/31/2023