JENNIFER THOMPSON SHALZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

THOMPSON

Last Name

SHALZ

Suffix

Business Name

JENNIFER THOMPSON SHALZ MD

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

07/31/2002

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006