JENNIFER BLEAK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023782

License Status

EXPIRED

Business

First Name

JENNIFER

Last Name

BLEAK

Suffix

Business Name

JENNIFER BLEAK MD

Original Issue Date

05/12/1989

Effective Date

05/12/1989

Expiration Date

06/25/1992

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006