JERRY JEFF JABOIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

JERRY

Middle

JEFF

Last Name

JABOIN

Business Name

JERRY JEFF JABOIN MD

Original Issue Date

05/03/2012

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

65810

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017