LYNNETTE MARIE JACOBS-PUPINO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

LYNNETTE

Middle

MARIE

Last Name

JACOBS-PUPINO

Business Name

LYNNETTE MARIE JACOBS-PUPINO MD

Original Issue Date

07/09/2009

Effective Date

04/16/2014

Expiration Date

07/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017