JEFFREY ALAN KORNBLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123556

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ALAN

Last Name

KORNBLUM

Suffix

Business Name

JEFFREY ALAN KORNBLUM MD

Original Issue Date

05/27/2009

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

JONESBORO

State

Zip

72404

County

ARKANSAS

Ever Disciplined

LastModifiedDate

11/17/2014