BIANCA JENKINS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076810

License Status

CANCELLED

Business

Title

First Name

BIANCA

Last Name

JENKINS

Business Name

BIANCA JENKINS MD

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/08/2020