MARK E JERGENS MD - Medical Doctor License in Washington | # 036076311

MARK E JERGENS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076311

License Status

INACTIVE

Business

N

First Name

MARK E

Last Name

JERGENS

Suffix

MD

Business Name

MARK E JERGENS MD

Original Issue Date

11/07/1987

Effective Date

11/07/1987

Expiration Date

07/31/1993

State

WA

Ever Disciplined

N

LastModifiedDate

09/20/2006