JENNIFER SUSAN AN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

SUSAN

Last Name

Business Name

JENNIFER SUSAN AN MD

Original Issue Date

07/06/2018

Effective Date

07/06/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021