JENNY MICHELLE TRISTANO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

JENNY

Middle

MICHELLE

Last Name

TRISTANO

Business Name

JENNY MICHELLE TRISTANO MD

Original Issue Date

08/24/2011

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023