JERRY W HUSSONG - Medical Doctor License in Utah | # 036091922

JERRY W HUSSONG

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091922

License Status

NOT RENEWED

Business

N

First Name

JERRY W

Last Name

HUSSONG

Business Name

JERRY W HUSSONG

Original Issue Date

09/22/1995

Effective Date

09/22/1995

Expiration Date

07/31/1999

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006