JENNY QUAN BAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

JENNY

Middle

QUAN

Last Name

BAO

Business Name

JENNY QUAN BAO MD

Original Issue Date

09/20/2016

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63132

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023