JODI ANN PELEGRIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119124

License Status

ACTIVE

Business

Title

First Name

JODI

Middle

ANN

Last Name

PELEGRIN

Business Name

JODI ANN PELEGRIN DO

Original Issue Date

08/02/2007

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/03/2024

Case Number

2013003864

Action

Probation

Discipline Start Date

11/22/2016

Discipline End Date

08/31/2024

Discipline Reason

license restored to indefinite probation with practice restrictions for a minimum of 5 years.