JETUAN LISA ROWLEY-HERRON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

JETUAN

Middle

LISA

Last Name

ROWLEY-HERRON

Business Name

JETUAN LISA ROWLEY-HERRON MD

Original Issue Date

08/06/2004

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023