MARK R JENNINGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107697

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

JENNINGS

Suffix

Business Name

MARK R JENNINGS MD

Original Issue Date

08/19/2002

Effective Date

08/19/2002

Expiration Date

07/31/2005

City

ANDERSON

State

Zip

46016

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006