JENNIFER BOTTS BUCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

BOTTS

Last Name

BUCK

Suffix

Business Name

JENNIFER BOTTS BUCK MD

Original Issue Date

04/28/1997

Effective Date

04/28/1997

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006