JENNIFER ANNE LOCKE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123186

License Status

INACTIVE

Business

Title

First Name

JENNIFER

Middle

ANNE

Last Name

LOCKE

Business Name

JENNIFER ANNE LOCKE MD

Original Issue Date

04/15/2009

Effective Date

04/15/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011