JENNIFER A NEWPORT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

NEWPORT

Business Name

JENNIFER A NEWPORT

Original Issue Date

08/01/2005

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020