JEANNE ELLYN GREENBLATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

JEANNE

Middle

ELLYN

Last Name

GREENBLATT

Business Name

JEANNE ELLYN GREENBLATT MD

Original Issue Date

03/07/2022

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2023