JEROME W JANDA DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085536

License Status

NOT RENEWED

Business

First Name

JEROME W

Last Name

JANDA

Suffix

Business Name

JEROME W JANDA DO

Original Issue Date

10/24/1992

Effective Date

10/24/1992

Expiration Date

07/31/1996

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

09/20/2006