JENNIFER ANN M GUFFEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

JENNIFER ANN

Middle

Last Name

GUFFEY

Business Name

JENNIFER ANN M GUFFEY

Original Issue Date

09/19/2005

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023