JEROME LANGSTON MD - Medical Doctor License in Michigan | # 036107450

JEROME LANGSTON MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107450

License Status

NOT RENEWED

Business

N

First Name

JEROME

Last Name

LANGSTON

Suffix

MD

Business Name

JEROME LANGSTON MD

Original Issue Date

07/11/2002

Effective Date

07/11/2002

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006