JACQUELINE JANKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Last Name

JANKA

Business Name

JACQUELINE JANKA MD

Original Issue Date

04/04/2012

Effective Date

04/04/2012

Expiration Date

07/31/2014

City

LA SALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017