JASON NOEL LANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124742

License Status

NOT RENEWED

Business

First Name

JASON

Middle

NOEL

Last Name

LANCE

Suffix

Business Name

JASON NOEL LANCE MD

Original Issue Date

12/16/2009

Effective Date

07/13/2011

Expiration Date

07/31/2014

City

IDAHO FALLS

State

Zip

83404

County

IDAHO

Ever Disciplined

LastModifiedDate

11/17/2014