JENNIFER KRUSE ALLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

CANCELLED

Business

First Name

JENNIFER

Middle

KRUSE

Last Name

ALLEN

Suffix

Business Name

JENNIFER KRUSE ALLEN MD

Original Issue Date

02/05/1998

Effective Date

02/05/1998

Expiration Date

07/31/2002

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020