JEAN A DISSELER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081863

License Status

INACTIVE

Business

First Name

JEAN A

Last Name

DISSELER

Suffix

Business Name

JEAN A DISSELER MD

Original Issue Date

11/28/1990

Effective Date

05/28/2020

Expiration Date

07/31/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

06/06/2023