WENNY JEAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000188

License Status

EXPIRED

Business

First Name

WENNY

Last Name

JEAN

Suffix

Business Name

WENNY JEAN MD

Original Issue Date

04/01/2003

Effective Date

04/01/2003

Expiration Date

09/30/2003

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/25/2006