JASON C BIRNHOLZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065383

License Status

NOT RENEWED

Business

First Name

JASON C

Last Name

BIRNHOLZ

Suffix

Business Name

JASON C BIRNHOLZ MD

Original Issue Date

09/20/1982

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017