MARC R DEJONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114259

License Status

ACTIVE

Business

First Name

MARC

Middle

Last Name

DEJONG

Suffix

Business Name

MARC R DEJONG MD

Original Issue Date

07/26/2005

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/13/2023