RICHARD EUGENE JEISY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057601

License Status

CANCELLED

Business

Title

First Name

RICHARD

Middle

EUGENE

Last Name

JEISY

Business Name

RICHARD EUGENE JEISY MD

Original Issue Date

06/26/2010

Effective Date

06/26/2010

Expiration Date

06/25/2013

City

ROCHESTER

State

Zip

62563

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/06/2010