JENNIFER MAVIS THOMPSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MAVIS

Last Name

THOMPSON

Suffix

Business Name

JENNIFER MAVIS THOMPSON MD

Original Issue Date

10/14/1998

Effective Date

10/14/1998

Expiration Date

07/31/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008