JENIE S NEPOMUCENO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

JENIE S

Last Name

NEPOMUCENO

Suffix

Business Name

JENIE S NEPOMUCENO MD

Original Issue Date

12/18/1991

Effective Date

09/08/2020

Expiration Date

07/31/2023

City

MCHENRY

State

Zip

60050

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023