JONATHAN WALDBAUM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099598

License Status

INACTIVE

Business

First Name

JONATHAN

Last Name

WALDBAUM

Business Name

JONATHAN WALDBAUM

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

07/31/2002

City

HEATHROW

State

Zip

32746

County

OHIO

Ever Disciplined

LastModifiedDate

01/27/2016