GREGORY EDMUND JEANSONNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150676

License Status

INACTIVE

Business

Title

First Name

GREGORY

Middle

EDMUND

Last Name

JEANSONNE

Business Name

GREGORY EDMUND JEANSONNE MD

Original Issue Date

09/06/2019

Effective Date

06/20/2020

Expiration Date

07/31/2023

City

KINGSPORT

State

Zip

37660

Ever Disciplined

LastModifiedDate

06/11/2023