JEROME D DERDEL MD - Medical Doctor License in Pennsylvania | # 036079435

JEROME D DERDEL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079435

License Status

INACTIVE

Business

N

First Name

JEROME D

Last Name

DERDEL

Suffix

MD

Business Name

JEROME D DERDEL MD

Original Issue Date

09/26/1989

Effective Date

09/26/1989

Expiration Date

07/31/1999

State

PA

Ever Disciplined

N

LastModifiedDate

09/20/2006