JAY A RISEMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

JAY

Middle

Last Name

RISEMAN

Suffix

Business Name

JAY A RISEMAN MD

Original Issue Date

02/24/1988

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

OVERLAND PARK

State

Zip

66209

County

KANSAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014