SHANNON MICHELE JENNINGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

MICHELE

Last Name

JENNINGS

Suffix

Business Name

SHANNON MICHELE JENNINGS MD

Original Issue Date

07/19/2006

Effective Date

07/19/2006

Expiration Date

07/31/2008

City

EAST SAINT LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020