JEANNINE DENISE CLEMENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JEANNINE DENISE

Last Name

CLEMENT

Suffix

Business Name

JEANNINE DENISE CLEMENT MD

Original Issue Date

08/16/1996

Effective Date

08/16/1996

Expiration Date

07/31/1999

City

ABBOTT PARK

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006