PREBEN BJERREGAARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095059

License Status

NOT RENEWED

Business

First Name

PREBEN

Last Name

BJERREGAARD

Suffix

Business Name

PREBEN BJERREGAARD MD

Original Issue Date

03/13/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

11/06/2008