JESSICA LAUREN MARTINOLICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

JESSICA

Middle

LAUREN

Last Name

MARTINOLICH

Business Name

JESSICA LAUREN MARTINOLICH MD

Original Issue Date

04/10/2020

Effective Date

04/10/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

03/11/2021