JENNIFER K JURGENS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101452

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

JURGENS

Business Name

JENNIFER K JURGENS

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

07/31/2002

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006