JACOB P DOERING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

DOERING

Suffix

Business Name

JACOB P DOERING MD

Original Issue Date

01/02/2008

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021