JENNIFER BOOKSTEIN DRIKER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

BOOKSTEIN

Last Name

DRIKER

Business Name

JENNIFER BOOKSTEIN DRIKER

Original Issue Date

06/12/2000

Effective Date

06/12/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006