JONATHAN ANNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JONATHAN

Last Name

ANNIS

Suffix

Business Name

JONATHAN ANNIS MD

Original Issue Date

03/20/2000

Effective Date

03/20/2000

Expiration Date

07/31/2008

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011