JENNIFER ANNE LOETHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ANNE

Last Name

LOETHEN

Suffix

Business Name

JENNIFER ANNE LOETHEN MD

Original Issue Date

10/23/2008

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023