JENNIFER M FORAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

FORAN

Suffix

Business Name

JENNIFER M FORAN MD

Original Issue Date

04/19/2000

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

LAKESIDE

State

Zip

85929

County

ARIZONA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017