JENNIFER JERICHO CAPEZIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

JENNIFER JERICHO

Last Name

CAPEZIO

Business Name

JENNIFER JERICHO CAPEZIO MD

Original Issue Date

12/26/1986

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023