JEFFREY M SCHENCK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074676

License Status

CANCELLED

Business

Title

First Name

JEFFREY

Middle

Last Name

SCHENCK

Business Name

JEFFREY M SCHENCK DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/06/2019