JENNIFER R BELLO KOTTENSTETTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

Last Name

BELLO KOTTENSTETTE

Business Name

JENNIFER R BELLO KOTTENSTETTE MD

Original Issue Date

12/15/2010

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017