JENNIFER TATIANA DEVANEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034879

License Status

EXPIRED

Business

First Name

JENNIFER

Middle

TATIANA

Last Name

DEVANEY

Suffix

Business Name

JENNIFER TATIANA DEVANEY MD

Original Issue Date

06/05/1996

Effective Date

06/05/1996

Expiration Date

07/28/2001

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006