GARY LEE JENNETT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

CANCELLED

Business

Title

First Name

GARY

Middle

LEE

Last Name

JENNETT

Business Name

GARY LEE JENNETT MD

Original Issue Date

08/17/2006

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

CEDAR RAPIDS

State

Zip

52411

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011