LEO CHAPIN JENNETTEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178010

License Status

ACTIVE

Business

Title

First Name

LEO

Middle

CHAPIN

Last Name

JENNETTEN

Business Name

LEO CHAPIN JENNETTEN MD

Original Issue Date

11/20/2025

Effective Date

11/20/2025

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/05/2025