JEANNINE JELINEK STANWOOD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

JEANNINE

Middle

JELINEK

Last Name

STANWOOD

Business Name

JEANNINE JELINEK STANWOOD

Original Issue Date

05/04/1999

Effective Date

05/04/1999

Expiration Date

07/31/2002

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006