JACOB ANTHONY LENNERT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

ANTHONY

Last Name

LENNERT

Business Name

JACOB ANTHONY LENNERT MD

Original Issue Date

03/28/2024

Effective Date

03/28/2024

Expiration Date

07/31/2026

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2024