JENNIFER MARIE NOTTAGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131962

License Status

NOT RENEWED

Business

Title

First Name

JENNIFER

Middle

MARIE

Last Name

NOTTAGE

Business Name

JENNIFER MARIE NOTTAGE MD

Original Issue Date

01/23/2013

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHEYENNE

State

Zip

82001

County

WYOMING

Ever Disciplined

LastModifiedDate

11/01/2017