STEPHANIE RENEE JENNINGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

RENEE

Last Name

JENNINGS

Suffix

Business Name

STEPHANIE RENEE JENNINGS MD

Original Issue Date

07/15/2010

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017