RYAN L JENNINGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

Last Name

JENNINGS

Business Name

RYAN L JENNINGS MD

Original Issue Date

10/31/2007

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

LOUISVILLE

State

Zip

62858

County

CLAY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020