JACK S HAVDALA MD - Medical Doctor License in Arkansas | # 036085154

JACK S HAVDALA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085154

License Status

INACTIVE

Business

N

First Name

JACK S

Last Name

HAVDALA

Suffix

MD

Business Name

JACK S HAVDALA MD

Original Issue Date

08/17/1992

Effective Date

08/17/1992

Expiration Date

07/31/2005

State

AR

Ever Disciplined

N

LastModifiedDate

10/09/2006