JANE ELLEN CHURPEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

JANE

Middle

ELLEN

Last Name

CHURPEK

Business Name

JANE ELLEN CHURPEK MD

Original Issue Date

04/09/2008

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021