JACK K FROST MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000136

License Status

NOT RENEWED

Business

Business Name

JACK K FROST MD SC

Original Issue Date

01/01/1998

Expiration Date

01/01/1991

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

09/26/2006