JULISSA ANDREE JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

JULISSA

Middle

ANDREE

Last Name

JIMENEZ

Business Name

JULISSA ANDREE JIMENEZ MD

Original Issue Date

03/25/2020

Effective Date

03/25/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023