JENNIFER M DE GEUS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

Last Name

DE GEUS

Business Name

JENNIFER M DE GEUS

Original Issue Date

07/11/2006

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023