MICHAEL JUDE JENNEWEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128049

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JUDE

Last Name

JENNEWEIN

Business Name

MICHAEL JUDE JENNEWEIN MD

Original Issue Date

06/06/2011

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

Ever Disciplined

LastModifiedDate

07/27/2023