JACK F CONSAMUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066280

License Status

NOT RENEWED

Business

First Name

JACK F

Last Name

CONSAMUS

Suffix

Business Name

JACK F CONSAMUS MD

Original Issue Date

03/24/1983

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

11/17/2014