MARTY H JANNING Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026178

License Status

EXPIRED

Business

First Name

MARTY

Middle

Last Name

JANNING

Business Name

MARTY H JANNING

Original Issue Date

04/17/1991

Effective Date

04/17/1991

Expiration Date

06/29/1997

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006