RICHARD EUGENE JEISY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131276

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

EUGENE

Last Name

JEISY

Business Name

RICHARD EUGENE JEISY MD

Original Issue Date

08/30/2012

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2023