JENNIFER BENDER BAKKENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

BENDER

Last Name

BAKKENSEN

Business Name

JENNIFER BENDER BAKKENSEN MD

Original Issue Date

04/28/2022

Effective Date

04/28/2022

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023