EDWARD STEPHEN JENNINGS JR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

CANCELLED

Business

First Name

EDWARD STEPHEN

Last Name

JENNINGS JR

Suffix

Business Name

EDWARD STEPHEN JENNINGS JR MD

Original Issue Date

01/01/1997

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2011