ELLEN MARIE JANSYN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

ELLEN MARIE

Last Name

JANSYN

Suffix

Business Name

ELLEN MARIE JANSYN MD

Original Issue Date

08/30/1982

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017