FEDERICO J JIMENEZ JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

FEDERICO J

Last Name

JIMENEZ JR

Suffix

Business Name

FEDERICO J JIMENEZ JR MD

Original Issue Date

08/25/1986

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017