JENNIFER IMARA HAYES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

IMARA

Last Name

HAYES

Business Name

JENNIFER IMARA HAYES MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

07/31/2017

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017