JENNIFER MARY ELEANOR MACDONALD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070611

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

MARY ELEANOR

Last Name

MACDONALD

Business Name

JENNIFER MARY ELEANOR MACDONALD MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020