JESSICA LEA BOETTCHER MD 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

JESSICA

Middle

LEA

Last Name

BOETTCHER

Suffix

Business Name

JESSICA LEA BOETTCHER MD

Original Issue Date

03/08/2016

Effective Date

03/08/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017