JENNIFER TATIANA DEVANEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

TATIANA

Last Name

DEVANEY

Suffix

Business Name

JENNIFER TATIANA DEVANEY MD

Original Issue Date

09/09/1999

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023