PAUL WILLIAM JENNER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064420

License Status

INACTIVE

Business

First Name

PAUL WILLIAM

Last Name

JENNER

Suffix

Business Name

PAUL WILLIAM JENNER MD

Original Issue Date

06/01/1982

Effective Date

06/01/1982

Expiration Date

07/31/1987

City

CHARLOTTE

State

Zip

28236

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006