JENNIFER CLAIRE LANE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138341

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

CLAIRE

Last Name

LANE

Business Name

JENNIFER CLAIRE LANE DO

Original Issue Date

06/17/2015

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/03/2023