JENNIFER L BAUERNFEIND Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

BAUERNFEIND

Business Name

JENNIFER L BAUERNFEIND

Original Issue Date

06/01/1999

Effective Date

06/01/1999

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006