JAZZMYNE MONTGOMERY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075468

License Status

EXPIRED

Business

Title

First Name

JAZZMYNE

Last Name

MONTGOMERY

Business Name

JAZZMYNE MONTGOMERY MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

11/03/2025