NEIL LYNN JORGENSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098018

License Status

NOT RENEWED

Business

First Name

NEIL

Middle

LYNN

Last Name

JORGENSEN

Suffix

Business Name

NEIL LYNN JORGENSEN MD

Original Issue Date

06/12/1998

Effective Date

06/28/2011

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/17/2014