DONALD LEE JEROME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038526

License Status

NOT RENEWED

Business

First Name

DONALD LEE

Last Name

JEROME

Suffix

Business Name

DONALD LEE JEROME MD

Original Issue Date

08/02/1963

Effective Date

08/02/1963

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006