JENNIFER LYNN HUELSBUSCH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

HUELSBUSCH

Business Name

JENNIFER LYNN HUELSBUSCH MD

Original Issue Date

06/14/2012

Effective Date

07/18/2017

Expiration Date

09/30/2020

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021