JACOB GINGLEN DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****08

ACTIVE

N

DO

JACOB

GINGLEN

JACOB GINGLEN DO

05/20/2020

04/17/2023

07/31/2026

LAKE GENEVA

WI

53147

DUPAGE

PRACTITIONER

II III IV V

N

04/17/2023