STEPHEN A JENNINGS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051254

License Status

INACTIVE

Business

First Name

STEPHEN A

Last Name

JENNINGS

Suffix

Business Name

STEPHEN A JENNINGS MD

Original Issue Date

07/10/1975

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

SANTA FE

State

Zip

87501

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

04/08/2014