NICOLAAS MICHAEL JONGERIUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068987

License Status

ACTIVE

Business

First Name

NICOLAAS MICHAEL

Last Name

JONGERIUS

Suffix

Business Name

NICOLAAS MICHAEL JONGERIUS MD

Original Issue Date

07/12/1984

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/20/2023