DOUGLAS J JERGENSON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072566

License Status

INACTIVE

Business

First Name

DOUGLAS J

Last Name

JERGENSON

Suffix

Business Name

DOUGLAS J JERGENSON MD

Original Issue Date

04/15/1986

Effective Date

04/15/1986

Expiration Date

07/31/1987

City

CLINTON

State

Zip

52732

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006