JASON D RIESINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

RIESINGER

Suffix

Business Name

JASON D RIESINGER MD

Original Issue Date

10/02/2008

Effective Date

09/03/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020