RYAN L JENNINGS 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

Title

First Name

RYAN

Middle

Last Name

JENNINGS

Business Name

RYAN L JENNINGS MD

Original Issue Date

09/11/2000

Effective Date

09/11/2000

Expiration Date

07/31/2008

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020