JENNIFER L WESTERN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JENNIFER L

Last Name

WESTERN

Suffix

Business Name

JENNIFER L WESTERN MD

Original Issue Date

07/22/1994

Effective Date

07/22/1994

Expiration Date

07/31/1996

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020