JENNIFER LYNN ETLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107766

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

ETLING

Suffix

Business Name

JENNIFER LYNN ETLING MD

Original Issue Date

08/29/2002

Effective Date

08/29/2002

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006