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Licensing details for: A 20599

Name: JENNINGS, RAYMOND D

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

Secondary Status: Probation CompletedPrimary Status Definition

School Name: Loma Linda University School of Medicine

Graduation Year: 1962

Address of Record

15230 LAKESHORE DRIVE
CLEARLAKE CA 95422
LAKE county
Map

Issuance Date

July 1, 1963

Expiration Date

December 31, 2026

Current Date / Time

October 3, 2026
10:56:15 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Decline to State
Postgraduate Training Years
Decline to State
Primary Area of Practice
Internal Medicine
Secondary Area of Practice
Decline to State
ABMS Certifications
Other - Decline to State
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 40+ Hours
Percentage (%) of patient care hours spent on telehealth - 70
Training - 1-9 Hours
Research - None
Administration - 1-9 Hours
Other - Decline to State
Primary Practice Location
Zip - 95422
United States Primary Practice Location
Secondary Practice Location
Zip - 95422
United States Secondary Practice Location
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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