EVAN ALEXANDER JENKINS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075839

License Status

CANCELLED

Business

Title

First Name

EVAN

Middle

ALEXANDER

Last Name

JENKINS

Business Name

EVAN ALEXANDER JENKINS MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/27/2020