License holder summary

Grentzer, Jaclyn Mikela is a Medical Physician/Surgeon Temporary licensed to practice in Missouri. This licensed professional license is current. The license was granted 06/21/2010 and expired on 06/30/2014.

Missouri

Division of Professional Registration

Grentzer, Jaclyn Mikela
Medical Physician/Surgeon Temporary
License number
2010018459  
Date granted
06/21/2010
Date expires
06/30/2014
Class
Medical Physician/Surgeon Temporary
Status
Clear
licensingmissouri.org
ID 2091383
LAST UPDATED 2026-05-08 06:05:43 UTC

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