RICHARD EUGENE 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

Title

First Name

RICHARD

Middle

EUGENE

Last Name

JEISY

Business Name

RICHARD EUGENE JEISY MD

Original Issue Date

08/30/2012

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023