JENNIFER ANN M GUFFEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045454

License Status

EXPIRED

Business

First Name

JENNIFER ANN

Middle

Last Name

GUFFEY

Business Name

JENNIFER ANN M GUFFEY

Original Issue Date

12/18/2002

Effective Date

12/18/2002

Expiration Date

12/17/2005

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006