JENNIFER A WAMBACH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110625

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

Last Name

WAMBACH

Business Name

JENNIFER A WAMBACH MD

Original Issue Date

12/29/2003

Effective Date

08/28/2024

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/13/2008