JACOB ROBERT FENSTER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

ROBERT

Last Name

FENSTER

Business Name

JACOB ROBERT FENSTER DO

Original Issue Date

05/12/2021

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

HATTIESBURG

State

Zip

39402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023