JASON BENJAMIN WYNBERG MD - Medical Doctor License in Michigan | # 036112290

JASON BENJAMIN WYNBERG MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112290

License Status

INACTIVE

Business

N

First Name

JASON

Middle

BENJAMIN

Last Name

WYNBERG

Suffix

MD

Business Name

JASON BENJAMIN WYNBERG MD

Original Issue Date

09/08/2004

Effective Date

09/08/2004

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006