DACIA JENNINGS HARROLD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

DACIA

Middle

JENNINGS

Last Name

HARROLD

Business Name

DACIA JENNINGS HARROLD MD

Original Issue Date

08/07/2012

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

PHOENIX

State

Zip

85044

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023