JACQUELINE LEENA KANNAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

JACQUELINE

Middle

LEENA

Last Name

KANNAN

Business Name

JACQUELINE LEENA KANNAN MD

Original Issue Date

04/29/2020

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023