JASON JAY BOLLENBAUGH DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009505

License Status

INACTIVE

Business

First Name

JASON

Middle

JAY

Last Name

BOLLENBAUGH

Suffix

Business Name

JASON JAY BOLLENBAUGH DC

Original Issue Date

10/04/2001

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

04/08/2014