JENNIFER NICOLE THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

NICOLE

Last Name

THOMPSON

Business Name

JENNIFER NICOLE THOMPSON MD

Original Issue Date

08/02/2012

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023