JENNIFER M SARDONE-PONNAPPAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

SARDONE-PONNAPPAN

Business Name

JENNIFER M SARDONE-PONNAPPAN MD

Original Issue Date

11/19/2010

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023