JACQUELINE ANISA CUNKELMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

ANISA

Last Name

CUNKELMAN

Business Name

JACQUELINE ANISA CUNKELMAN MD

Original Issue Date

04/06/2009

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014