ANDREW D JENIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

Last Name

JENIS

Business Name

ANDREW D JENIS MD

Original Issue Date

09/02/2014

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CANTON

State

Zip

44718

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021