JENNIFER QUAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Last Name

QUAM

Business Name

JENNIFER QUAM MD

Original Issue Date

07/01/2019

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ELK GROVE

State

Zip

60007

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023