MARK THOMAS JENNINGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055020

License Status

NOT RENEWED

Business

First Name

MARK THOMAS

Last Name

JENNINGS

Suffix

Business Name

MARK THOMAS JENNINGS MD

Original Issue Date

07/18/1977

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/17/2014