JENNIFER ANNE LOCKE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

ANNE

Last Name

LOCKE

Business Name

JENNIFER ANNE LOCKE MD

Original Issue Date

04/20/2009

Effective Date

04/20/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011