JACOB M BEHRENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

Last Name

BEHRENS

Business Name

JACOB M BEHRENS MD

Original Issue Date

12/13/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53092

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023