JACQUELINE LEENA KANNAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001148

License Status

EXPIRED

Business

Title

First Name

JACQUELINE

Middle

LEENA

Last Name

KANNAN

Business Name

JACQUELINE LEENA KANNAN MD

Original Issue Date

04/01/2017

Effective Date

04/01/2017

Expiration Date

04/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2017