JENNIFER JEANETTE PARKS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

JEANETTE

Last Name

PARKS

Business Name

JENNIFER JEANETTE PARKS MD

Original Issue Date

04/15/2022

Effective Date

04/15/2022

Expiration Date

07/31/2023

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023