JENNIFER LYNN ELLENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

ELLENS

Business Name

JENNIFER LYNN ELLENS MD

Original Issue Date

10/02/2000

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023