JERALD EDWARD CUNDIFF MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146999

License Status

INACTIVE

Business

Title

First Name

JERALD

Middle

EDWARD

Last Name

CUNDIFF

Business Name

JERALD EDWARD CUNDIFF MD

Original Issue Date

07/24/2018

Effective Date

06/15/2020

Expiration Date

07/31/2023

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

05/09/2023