PATRICIA T JIMENEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA

Middle

Last Name

JIMENEZ

Business Name

PATRICIA T JIMENEZ MD

Original Issue Date

05/16/2018

Effective Date

05/16/2018

Expiration Date

09/30/2020

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021