JENNIFER PARKER PORTER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

JENNIFER PARKER

Last Name

PORTER

Business Name

JENNIFER PARKER PORTER

Original Issue Date

06/03/1997

Effective Date

06/03/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006