Jennifer Mary Fauntleroy Md
ExpiredIllinois license 036059513
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036059513
- Status
- Expired (Not Renewed)
- First issued
- September 25, 1979
- Expired
- July 31, 1984
- License holder
- Jennifer Mary Fauntleroy Md
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 09/25/1979
Other Illinois licenses under this name
-
IL
Jennifer Mary Fauntleroy MdLicense 33*****97Licensed Physician Controlled Substance (Medical Board)ExpiredCarbondale, ILExpired Jul 31, 1984
Contact
Carbondale, IL 62901
Jackson County