PATRICIA T JIMENEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

PATRICIA

Middle

Last Name

JIMENEZ

Business Name

PATRICIA T JIMENEZ MD

Original Issue Date

01/04/2021

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023