JENNIFER KIRSTEN KIRK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

JENNIFER KIRSTEN

Last Name

KIRK

Suffix

Business Name

JENNIFER KIRSTEN KIRK MD

Original Issue Date

06/06/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023