JERRY MICHAEL SPECKMAN MD - Medical Doctor License in Utah | # 036099336

JERRY MICHAEL SPECKMAN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099336

License Status

INACTIVE

Business

N

First Name

JERRY

Middle

MICHAEL

Last Name

SPECKMAN

Suffix

MD

Business Name

JERRY MICHAEL SPECKMAN MD

Original Issue Date

12/02/1998

Effective Date

12/02/1998

Expiration Date

07/31/2002

State

UT

Ever Disciplined

N

LastModifiedDate

10/09/2006