JACQUELINE LEENA KANNAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073073

License Status

CANCELLED

Business

Title

First Name

JACQUELINE

Middle

LEENA

Last Name

KANNAN

Business Name

JACQUELINE LEENA KANNAN MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

Rheumatology

Ever Disciplined

LastModifiedDate

06/13/2018