JACQUELINE LEENA KANNAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

JACQUELINE

Middle

LEENA

Last Name

KANNAN

Business Name

JACQUELINE LEENA KANNAN MD

Original Issue Date

08/22/2022

Effective Date

08/22/2022

Expiration Date

07/31/2023

City

ELGIN

State

Zip

60123

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023