JEFFREY ALAN KORNBLUM MD - Medical Doctor License in Arkansas | # 036123556

JEFFREY ALAN KORNBLUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123556

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

ALAN

Last Name

KORNBLUM

Suffix

MD

Business Name

JEFFREY ALAN KORNBLUM MD

Original Issue Date

05/27/2009

Effective Date

06/27/2011

Expiration Date

07/31/2014

State

AR

Ever Disciplined

N

LastModifiedDate

11/17/2014