JENNIE CHEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

JENNIE

Last Name

CHEN

Business Name

JENNIE CHEN

Original Issue Date

06/15/1999

Effective Date

05/21/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017