JENNA MARIE LIZZO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

JENNA

Middle

MARIE

Last Name

LIZZO

Business Name

JENNA MARIE LIZZO MD

Original Issue Date

03/17/2023

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023