JENNIFER C MASSENGALE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118533

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

MASSENGALE

Suffix

Business Name

JENNIFER C MASSENGALE MD

Original Issue Date

05/30/2007

Effective Date

05/30/2007

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008