LAWRENCE E JEISY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

LAWRENCE E

Last Name

JEISY

Suffix

Business Name

LAWRENCE E JEISY MD

Original Issue Date

08/02/1983

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

ELWIN

State

Zip

62532

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2023