DOUGLAS J JERGENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

DOUGLAS J

Last Name

JERGENSON

Suffix

Business Name

DOUGLAS J JERGENSON MD

Original Issue Date

08/13/1986

Effective Date

08/13/1986

Expiration Date

07/31/1987

City

CLINTON

State

Zip

52732

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006