TYLER MARCUS JENNINGS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

TYLER

Middle

MARCUS

Last Name

JENNINGS

Business Name

TYLER MARCUS JENNINGS DO

Original Issue Date

03/05/2022

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023