JENNIFER E FRETZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

JENNIFER E

Last Name

FRETZ

Suffix

Business Name

JENNIFER E FRETZ DO

Original Issue Date

01/17/1996

Effective Date

01/17/1996

Expiration Date

07/31/1999

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006