JASON BRETT VAN GUNDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103042

License Status

NOT RENEWED

Business

First Name

JASON

Middle

BRETT

Last Name

VAN GUNDY

Suffix

Business Name

JASON BRETT VAN GUNDY MD

Original Issue Date

07/13/2000

Effective Date

07/13/2000

Expiration Date

07/31/2002

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006