MARTIN D JENDRISAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

JENDRISAK

Suffix

Business Name

MARTIN D JENDRISAK MD

Original Issue Date

08/27/2010

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

ITASCA

State

Zip

60143

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023