TIMOTHY D BJELLAND DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021239

License Status

EXPIRED

Business

First Name

TIMOTHY D

Last Name

BJELLAND

Suffix

Business Name

TIMOTHY D BJELLAND DO

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

07/01/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006