JENNIFER L SUFFERN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

SUFFERN

Suffix

DPM

Business Name

JENNIFER L SUFFERN DPM

Original Issue Date

07/30/2003

Effective Date

07/30/2003

Expiration Date

01/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006