JENNIFER L WESTERN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

JENNIFER L

Last Name

WESTERN

Suffix

Business Name

JENNIFER L WESTERN MD

Original Issue Date

07/22/1994

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023