JAY S PEPOSE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JAY

Middle

Last Name

PEPOSE

Suffix

Business Name

JAY S PEPOSE MD

Original Issue Date

03/04/1998

Effective Date

03/04/1998

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017