JACQUELINE LEENA KANNAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152551

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

LEENA

Last Name

KANNAN

Business Name

JACQUELINE LEENA KANNAN MD

Original Issue Date

04/13/2020

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/09/2023