JENNIFER MARIE BIRCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

BIRCH

Business Name

JENNIFER MARIE BIRCH MD

Original Issue Date

05/04/2010

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014