JEREMY WAYNE OWENS 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

Title

First Name

JEREMY

Middle

WAYNE

Last Name

OWENS

Business Name

JEREMY WAYNE OWENS MD

Original Issue Date

09/09/2019

Effective Date

09/09/2019

Expiration Date

09/30/2020

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021