JON DREW SANDBERG MD - Medical Doctor License in Washington | # 036040177

JON DREW SANDBERG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040177

License Status

NOT RENEWED

Business

N

First Name

JON DREW

Last Name

SANDBERG

Suffix

MD

Business Name

JON DREW SANDBERG MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

Expiration Date

07/31/1987

State

WA

Ever Disciplined

Y

LastModifiedDate

02/27/2007

Case Number

2004009386

Action

Refuse To Renew

Discipline Start Date

09/16/2005

Discipline Reason

DISCIPLINED IN WASHINGTON.