ANDREW D JENIS MD - Medical Doctor License in Ohio | # 33*****52

ANDREW D JENIS MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ANDREW

Middle

D

Last Name

JENIS

Business Name

ANDREW D JENIS MD

Original Issue Date

04/13/2009

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

OH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

01/14/2021