JERRY KRUSE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068809

License Status

ACTIVE

Business

First Name

JERRY

Last Name

KRUSE

Suffix

Business Name

JERRY KRUSE MD

Original Issue Date

06/14/1984

Effective Date

08/03/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/03/2023