RANDALL WAYNE JENNINGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105293

License Status

ACTIVE

Business

First Name

RANDALL

Middle

WAYNE

Last Name

JENNINGS

Suffix

Business Name

RANDALL WAYNE JENNINGS MD

Original Issue Date

07/26/2001

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

LEESVILLE

State

Zip

71446

Ever Disciplined

LastModifiedDate

07/10/2023

Case Number

2009008257

Action

Probation

Discipline Start Date

07/15/2009

Discipline End Date

01/14/2011

Discipline Reason

after being disciplined in the state of Wisconsin.