JANTSEN ROBERT SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153405

License Status

ACTIVE

Business

Title

First Name

JANTSEN

Middle

ROBERT

Last Name

SMITH

Business Name

JANTSEN ROBERT SMITH MD

Original Issue Date

06/17/2020

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/14/2023