JENNIFER LYNN DETTLOFF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058726

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

DETTLOFF

Business Name

JENNIFER LYNN DETTLOFF MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/13/2015