AARON JENNINGS PEMBERTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

AARON

Middle

JENNINGS

Last Name

PEMBERTON

Suffix

Business Name

AARON JENNINGS PEMBERTON MD

Original Issue Date

12/11/2018

Effective Date

12/11/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021