JENNIFER LYNN ETLING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

ETLING

Suffix

Business Name

JENNIFER LYNN ETLING MD

Original Issue Date

09/04/2002

Effective Date

09/04/2002

Expiration Date

07/31/2005

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006