MICHAEL JUDE JENNEWEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

JUDE

Last Name

JENNEWEIN

Business Name

MICHAEL JUDE JENNEWEIN MD

Original Issue Date

06/06/2011

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023