JONATHAN KENNETH MARNER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

KENNETH

Last Name

MARNER

Business Name

JONATHAN KENNETH MARNER MD

Original Issue Date

12/22/2022

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023