JENNIFER LYNN BRENTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

LYNN

Last Name

BRENTON

Business Name

JENNIFER LYNN BRENTON MD

Original Issue Date

11/18/2016

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021