MICHAEL CHRIS JORGENSEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000754

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

CHRIS

Last Name

JORGENSEN

Business Name

MICHAEL CHRIS JORGENSEN MD

Original Issue Date

09/25/2017

Effective Date

09/25/2017

Expiration Date

03/24/2018

City

CLEAR LAKE

State

Zip

50428

Specialty/Qualifier

Family Practice

Ever Disciplined

LastModifiedDate

06/15/2018