CLARENCE W JORDAHL JR MD - Medical Doctor License in Wisconsin | # 036063346

CLARENCE W JORDAHL JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063346

License Status

NOT RENEWED

Business

N

First Name

CLARENCE W

Last Name

JORDAHL JR

Suffix

MD

Business Name

CLARENCE W JORDAHL JR MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/01/1982

State

WI

Ever Disciplined

N

LastModifiedDate

09/20/2006