JEFFREY SYLVAN OSWALD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074174

License Status

NOT RENEWED

Business

First Name

JEFFREY SYLVAN

Last Name

OSWALD

Business Name

JEFFREY SYLVAN OSWALD

Original Issue Date

11/21/1986

Effective Date

11/21/1986

Expiration Date

07/31/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006