JACOB ROBERT FENSTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156624

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

ROBERT

Last Name

FENSTER

Business Name

JACOB ROBERT FENSTER DO

Original Issue Date

04/19/2021

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/09/2023