JETUAN LISA ROWLEY-HERRON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111984

License Status

ACTIVE

Business

Title

First Name

JETUAN

Middle

LISA

Last Name

ROWLEY-HERRON

Business Name

JETUAN LISA ROWLEY-HERRON MD

Original Issue Date

07/29/2004

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2023