JENNIFER MARIE BIRCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125369

License Status

INACTIVE

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

BIRCH

Business Name

JENNIFER MARIE BIRCH MD

Original Issue Date

04/05/2010

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014