JENNIFER DENA THULL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DENA

Last Name

THULL

Business Name

JENNIFER DENA THULL

Original Issue Date

09/07/2001

Effective Date

09/07/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006