MATTHEW B JENNINGS 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

Title

First Name

MATTHEW

Middle

Last Name

JENNINGS

Business Name

MATTHEW B JENNINGS MD

Original Issue Date

01/25/2007

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

HINCKLEY

State

Zip

60520

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014