TIMOTHY K JENNINGS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

JENNINGS

Business Name

TIMOTHY K JENNINGS

Original Issue Date

11/04/2002

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026