ANN M JENKINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ANN M

Last Name

JENKINS

Suffix

Business Name

ANN M JENKINS MD

Original Issue Date

01/15/1986

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021