JASON BILL GUNDERSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058377

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

BILL

Last Name

GUNDERSON

Business Name

JASON BILL GUNDERSON MD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/13/2015