JENNIFER M BELLUCCI-JACKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

JENNIFER M

Last Name

BELLUCCI-JACKSON

Suffix

Business Name

JENNIFER M BELLUCCI-JACKSON MD

Original Issue Date

12/12/1996

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

RICHMOND

State

Zip

60071

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023