JENNIFER NICOLE THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131040

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

NICOLE

Last Name

THOMPSON

Business Name

JENNIFER NICOLE THOMPSON MD

Original Issue Date

08/02/2012

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/24/2023