NICOLE JENE FENNIMORE 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

NICOLE

Middle

JENE

Last Name

FENNIMORE

Business Name

NICOLE JENE FENNIMORE MD

Original Issue Date

08/11/2025

Effective Date

08/11/2025

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/11/2025