JUAN JOSE JIMENEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

First Name

JUAN

Middle

JOSE

Last Name

JIMENEZ

Business Name

JUAN JOSE JIMENEZ

Original Issue Date

02/28/2002

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023