JENNIFER LYNN ELLENS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038036

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

ELLENS

Business Name

JENNIFER LYNN ELLENS MD

Original Issue Date

05/28/1998

Effective Date

05/28/1998

Expiration Date

06/21/2001

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006