JEROME A FAGERSTROM DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038006480

License Status

NOT RENEWED

Business

First Name

JEROME A

Last Name

FAGERSTROM

Suffix

Business Name

JEROME A FAGERSTROM DC

Original Issue Date

08/30/1989

Effective Date

08/30/1989

Expiration Date

07/31/1996

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/21/2006